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Donita G Shannon
Home Health Agency in Hattiesburg, Mississippi
NPI 1255913901

Donita G Shannon is a Home Health Agency based in Hattiesburg, MS. Donita G Shannon practices in Hattiesburg, MS. The NPI Number for Donita G Shannon is 1255913901 and holds a License No. (Mississippi).

The current practice location address for Donita G Shannon is 188 Millpond Dr, Hattiesburg, MS and can be reached out via phone at 601-405-9013.

Location: 188 Millpond Dr, Hattiesburg, MS, 39401-5561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255913901
Provider Name
Donita G Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
188 Millpond Dr, Hattiesburg, MS, 39401-5561
Phone Number
601-405-9013
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
188 Millpond Dr
City
Hattiesburg
State
Mississippi
Zip
39401-5561
Phone Number
601-405-9013
Fax Number
person
Provider Business Mailing Address Details
Address
188 Millpond Dr
City
Hattiesburg
State
Mississippi
Zip
39401-5561
Phone Number
601-405-9013
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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