Provider Demographics
NPI:1588965453
Name:CENTRAL MISSISSIPPI HEAD START/EHS PROGRAM
Entity type:Organization
Organization Name:CENTRAL MISSISSIPPI HEAD START/EHS PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD START/EHS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-283-2227
Mailing Address - Street 1:101 S CENTRAL AVE
Mailing Address - Street 2:P.O. BOX 749
Mailing Address - City:WINONA
Mailing Address - State:MS
Mailing Address - Zip Code:38967-2606
Mailing Address - Country:US
Mailing Address - Phone:662-417-4251
Mailing Address - Fax:
Practice Address - Street 1:101 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-2606
Practice Address - Country:US
Practice Address - Phone:662-283-2227
Practice Address - Fax:662-283-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)