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Twanna Lenita Wallace
Home Health Agency in Hazlehurst, Mississippi
NPI 1376028712

Twanna Lenita Wallace is a Home Health Agency based in Hazlehurst, MS. Twanna Lenita Wallace practices in Hazlehurst, MS. The NPI Number for Twanna Lenita Wallace is 1376028712 and holds a License No. (Mississippi).

The current practice location address for Twanna Lenita Wallace is 321 Jackson St, Hazlehurst, MS and can be reached out via phone at 601-500-0027 and via fax at 601-277-4039.

Location: 321 Jackson St, Hazlehurst, MS, 39083-9361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376028712
Provider Name
Twanna Lenita Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
321 Jackson St, Hazlehurst, MS, 39083-9361
Phone Number
601-500-0027
Fax Number
601-277-4039
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
321 Jackson St
City
Hazlehurst
State
Mississippi
Zip
39083-2113
Phone Number
601-500-0027
Fax Number
601-277-4039
person
Provider Business Mailing Address Details
Address
321 Jackson St
City
Hazlehurst
State
Mississippi
Zip
39083-2113
Phone Number
601-500-0027
Fax Number
601-277-4039
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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