Healthcare Provider Details

I. General information

NPI: 1740467430
Provider Name (Legal Business Name): TENSAS PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 PLANK RD
SAINT JOSEPH LA
71366-0318
US

IV. Provider business mailing address

PO BOX 318
SAINT JOSEPH LA
71366-0318
US

V. Phone/Fax

Practice location:
  • Phone: 318-766-3269
  • Fax: 318-766-3634
Mailing address:
  • Phone: 318-766-3269
  • Fax: 318-766-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. JUDY K MCKNIGHT
Title or Position: BUSINESS MANAGER
Credential:
Phone: 318-766-3269