Healthcare Provider Details

I. General information

NPI: 1720496425
Provider Name (Legal Business Name): SHELBY COUNTY BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 S HOLLYWOOD ST
MEMPHIS TN
38112-4801
US

IV. Provider business mailing address

160 S HOLLYWOOD ST
MEMPHIS TN
38112-4801
US

V. Phone/Fax

Practice location:
  • Phone: 901-416-5300
  • Fax:
Mailing address:
  • Phone: 901-416-5300
  • Fax:

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: PATRICIA TOARMINA
Title or Position: DIRECTOR
Credential:
Phone: 901-416-5600