Provider Demographics
NPI:1952631699
Name:CLEVELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CLEVELAND SCHOOL DISTRICT
Other - Org Name:BELL ELEMENTARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DENIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADORY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-843-4572
Mailing Address - Street 1:1016 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:BOYLE
Mailing Address - State:MS
Mailing Address - Zip Code:38730-2006
Mailing Address - Country:US
Mailing Address - Phone:662-843-4572
Mailing Address - Fax:
Practice Address - Street 1:305 MERRITT DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2247
Practice Address - Country:US
Practice Address - Phone:662-843-2539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR874534163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty