Organization
MOUND BAYOU PUBLIC SCHOOLS
Active
Other names
I T Montgomery Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CROCKETT (SUPERIENTDENT)
(662) 741-2555
Entity
Organization
Contact information
Practice address
202 MLK, MOUND BAYOU, MS 38762
(662) 741-2433
(662) 741-2578
Mailing address
201 GREENE STREET, MOUND BAYOU, MS 38762
(662) 741-2555
(662) 741-2578
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN0000098393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00686243
—
MS
Enumeration date
05/03/2007
Last updated
10/08/2008
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