Organization
GRENADA SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DAIGNEAULT (SUPERINTENDENT)
(662) 226-1606
Entity
Organization
Contact information
Practice address
250 PENDER DR, GRENADA, MS 38901-9312
(662) 226-8900
(662) 227-4497
Mailing address
P. O. BOX 1940, GRENADA, MS 38902-1940
(662) 226-1606
(662) 226-7994
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R665843
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09588848
—
MS
Enumeration date
05/21/2007
Last updated
08/22/2020
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