Provider Demographics
NPI:1174835664
Name:SOUTHWEST HUMAN RESOURCE AGENCY
Entity Type:Organization
Organization Name:SOUTHWEST HUMAN RESOURCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-989-7710
Mailing Address - Street 1:1527 WHITE AVENUE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-0264
Mailing Address - Country:US
Mailing Address - Phone:731-989-5111
Mailing Address - Fax:731-989-9589
Practice Address - Street 1:1527 WHITE AVENUE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-0264
Practice Address - Country:US
Practice Address - Phone:731-989-5111
Practice Address - Fax:731-989-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)