Provider Demographics
NPI:1649490764
Name:ST. MARY PARISH SCHOOL BOARD
Entity type:Organization
Organization Name:ST. MARY PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR OF RELATED SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS-CCC-A
Authorized Official - Phone:337-828-1767
Mailing Address - Street 1:402 IBERIA ST
Mailing Address - Street 2:P O DRAWER 580
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-4916
Mailing Address - Country:US
Mailing Address - Phone:337-828-1767
Mailing Address - Fax:337-828-5941
Practice Address - Street 1:402 IBERIA ST
Practice Address - Street 2:P O DRAWER 580
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-4916
Practice Address - Country:US
Practice Address - Phone:337-828-1767
Practice Address - Fax:337-828-5941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty