Individual provider · Type 1 NPI
Quaniesha Porter, IDD WAIVER SERVICES
Day Training/Habilitation Specialist · Leakesville, MS
NPI number
1508582552
Active
Practice location
710 Oak St
Leakesville, MS 39451-3127
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist Primary | 373H00000X | None 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.
2 other providers at this address
Other day training/habilitation specialist providers in Leakesville
About NPI 1508582552
Quaniesha Porter, IDD WAIVER SERVICES's National Provider Identifier is 1508582552, issued on Oct 12, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Leakesville, MS. The record was last updated on Oct 12, 2022.