Healthcare Provider Details

I. General information

NPI: 1699809426
Provider Name (Legal Business Name): MOREHOUSE PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 S WASHINGTON ST
BASTROP LA
71220-5037
US

IV. Provider business mailing address

PO BOX 872 714 S. WASHINGTON ST.
BASTROP LA
71221-0872
US

V. Phone/Fax

Practice location:
  • Phone: 318-281-5784
  • Fax: 318-281-5956
Mailing address:
  • Phone: 318-281-5784
  • Fax: 318-281-5956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number StateLA

VIII. Authorized Official

Name: RENEE B. HINTON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 318-283-3050