Organization
WEST BOLIVAR SCHOOL DISTRICT
Active
Other names
West Bolivar Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY PHILLIPS (SUPERINTENDENT)
(662) 759-3525
Entity
Organization
Contact information
Practice address
1212 SOUTH MAIN STREET, ROSEDALE, MS 38769-0159
(662) 759-3743
Mailing address
1212 SOUTH MAIN STREET, P.O. BOX 159, ROSEDALE, MS 38769-0159
(662) 759-3743
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R865655
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06156308
—
MS
Enumeration date
01/12/2007
Last updated
08/22/2020
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