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Fraxine Graves, IDDWAIVERSERVICES
Day Training/Habilitation Specialist in Gulfport, Mississippi
NPI 1851016299

Fraxine Graves is a Day Training/Habilitation Specialist based in Hattiesburg, MS. Fraxine Graves practices in Gulfport, MS and has the professional credentials of IDDWAIVERSERVICES. The NPI Number for Fraxine Graves is 1851016299 and holds a License No. (Mississippi).

The current practice location address for Fraxine Graves is 1110 42Nd Ave, Gulfport, MS and can be reached out via phone at 228-284-5540 and via fax at 228-284-5685.

Location: 1110 42Nd Ave, Gulfport, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851016299
Provider Name
Fraxine Graves
Credential
IDDWAIVERSERVICES
Provider Entity Type
Individual
Gender
Female
Address
1110 42Nd Ave, Gulfport, MS, 39404-8679
Phone Number
228-284-5540
Fax Number
228-284-5685
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1110 42Nd Ave
City
Gulfport
State
Mississippi
Zip
39501-2663
Phone Number
228-284-5540
Fax Number
228-284-5685
person
Provider Business Mailing Address Details
Address
1110 42Nd Ave
City
Gulfport
State
Mississippi
Zip
39501-2663
Phone Number
228-284-5540
Fax Number
228-284-5685
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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