Organization
IBERVILLE PARISH SCHOOL BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN BERA (SUPERINTENDENT)
(225) 749-2360
Entity
Organization
Contact information
Practice address
58030 PLAQUEMINE ST, PLAQUEMINE, LA 70764-2522
(225) 749-2360
Mailing address
58030 PLAQUEMINE ST, PLAQUEMINE, LA 70764-2522
(225) 749-2360
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701637
—
LA
Enumeration date
10/11/2007
Last updated
10/11/2007
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