NPI 1184340135

Latasha Peavy, IDDWAIVERSERVICES

Practitioner Day Training/Habilitation Specialist Columbia, MS

Practice location

Address: 1104 Broad St, Columbia, MS 39429-3112
Phone: (601) 736-0996
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X

Other Day Training/Habilitation Specialist providers in Mississippi →

Registry record

NPI: 1184340135
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2022
Record last updated: 12 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.