Healthcare Provider Details

I. General information

NPI: 1366562746
Provider Name (Legal Business Name): UNION PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 MARION HWY
FARMERVILLE LA
71241
US

IV. Provider business mailing address

1206 MARION HWY
FARMERVILLE LA
71241
US

V. Phone/Fax

Practice location:
  • Phone: 318-368-9715
  • Fax: 318-368-9768
Mailing address:
  • Phone: 318-368-9715
  • Fax: 318-368-9768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDY MABRY
Title or Position: SUPERINTENDENT
Credential:
Phone: 318-368-9715