Organization
HAZLEHURST ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY BROEN (PRINCIPAL)
(601) 894-3274
Entity
Organization
Contact information
Practice address
136 SCHOOL DR, HAZLEHURST, MS 39083-3550
(601) 894-3274
(601) 894-3960
Mailing address
136 SCHOOL DR, HAZLEHURST, MS 39083-3550
(601) 894-3274
(601) 894-3960
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R742584
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08983749
—
MS
Enumeration date
04/16/2007
Last updated
08/22/2020
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