Healthcare Provider Details

I. General information

NPI: 1649490764
Provider Name (Legal Business Name): ST. MARY PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 IBERIA ST P O DRAWER 580
FRANKLIN LA
70538-4916
US

IV. Provider business mailing address

402 IBERIA ST P O DRAWER 580
FRANKLIN LA
70538-4916
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-1767
  • Fax: 337-828-5941
Mailing address:
  • Phone: 337-828-1767
  • Fax: 337-828-5941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STEPHEN J HARRIS
Title or Position: COORDINATOR OF RELATED SERVICES
Credential: MS-CCC-A
Phone: 337-828-1767