person
Porosha Gaines, IDDWAIVERSERVICES
Day Training/Habilitation Specialist in Ellisville, Mississippi
NPI 1386369726

Porosha Gaines is a Day Training/Habilitation Specialist based in Hattiesburg, MS. Porosha Gaines practices in Ellisville, MS and has the professional credentials of IDDWAIVERSERVICES. The NPI Number for Porosha Gaines is 1386369726 and holds a License No. (Mississippi).

The current practice location address for Porosha Gaines is 106 Mize St Apt 26, Ellisville, MS and can be reached out via phone at 601-800-8564.

Location: 106 Mize St Apt 26, Ellisville, MS, 39404-8679
person
Provider Profile Details
NPI Number
1386369726
Provider Name
Porosha Gaines
Credential
IDDWAIVERSERVICES
Provider Entity Type
Individual
Gender
Female
Address
106 Mize St Apt 26, Ellisville, MS, 39404-8679
Phone Number
601-800-8564
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Mize St Apt 26
City
State
Zip
39437-2067
Phone Number
601-800-8564
Fax Number
person
Provider Business Mailing Address Details
Address
106 Mize St Apt 26
City
State
Zip
39437-2067
Phone Number
601-800-8564
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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