Individual provider · Type 1 NPI

Fraxine Graves, IDD WAIVER SERVICES

Day Training/Habilitation Specialist · Gulfport, MS

NPI number 1851016299 Active

Practice location

1110 42nd Ave
Gulfport, MS 39501-2663

Call (228) 284-5540 Map

Fax (228) 284-5685

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 1851016299

Fraxine Graves, IDD WAIVER SERVICES's National Provider Identifier is 1851016299, issued on Oct 7, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 7, 2022.