Provider Demographics
NPI:1417227893
Name:UTICA ELEMENTARY AND MIDDLE SCHOOL
Entity Type:Organization
Organization Name:UTICA ELEMENTARY AND MIDDLE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-857-5222
Mailing Address - Street 1:260 HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MS
Mailing Address - Zip Code:39175-9767
Mailing Address - Country:US
Mailing Address - Phone:601-885-8765
Mailing Address - Fax:601-885-2083
Practice Address - Street 1:260 HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MS
Practice Address - Zip Code:39175-9767
Practice Address - Country:US
Practice Address - Phone:601-885-8765
Practice Address - Fax:601-885-2083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HINDS COUNTY SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR867338163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty