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Quaniesha Porter, IDDWAIVERSERVICES
Day Training/Habilitation Specialist in Leakesville, Mississippi
NPI 1508582552

Quaniesha Porter is a Day Training/Habilitation Specialist based in Hattiesburg, MS. Quaniesha Porter practices in Leakesville, MS and has the professional credentials of IDDWAIVERSERVICES. The NPI Number for Quaniesha Porter is 1508582552 and holds a License No. (Mississippi).

The current practice location address for Quaniesha Porter is 710 Oak St, Leakesville, MS and can be reached out via phone at 601-394-2887.

Location: 710 Oak St, Leakesville, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508582552
Provider Name
Quaniesha Porter
Credential
IDDWAIVERSERVICES
Provider Entity Type
Individual
Gender
Female
Address
710 Oak St, Leakesville, MS, 39404-8679
Phone Number
601-394-2887
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
710 Oak St
City
Leakesville
State
Mississippi
Zip
39451-3127
Phone Number
601-394-2887
Fax Number
person
Provider Business Mailing Address Details
Address
710 Oak St
City
Leakesville
State
Mississippi
Zip
39451-3127
Phone Number
601-394-2887
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
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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