Provider Demographics
NPI:1043685019
Name:QUITMAN LOWER ELEMENTARY SCHOOL
Entity type:Organization
Organization Name:QUITMAN LOWER ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:601-776-2186
Mailing Address - Street 1:101 E MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-2645
Mailing Address - Country:US
Mailing Address - Phone:601-776-6156
Mailing Address - Fax:
Practice Address - Street 1:101 E MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-2645
Practice Address - Country:US
Practice Address - Phone:601-776-6156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)