Individual provider · Type 1 NPI

Jacqueline Rogers, IDD WAIVER SERVICES

Day Training/Habilitation Specialist · Ellisville, MS

NPI number 1487370441 Active

Practice location

106 Mize St Apt 26
Ellisville, MS 39437-2067

Call (601) 800-8564 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: 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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About NPI 1487370441

Jacqueline Rogers, IDD WAIVER SERVICES's National Provider Identifier is 1487370441, issued on Oct 12, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Ellisville, MS. The record was last updated on Oct 12, 2022.