POROSHA GAINES

ELLISVILLE, MS
NPI1386369726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2022-10-07
Last Update Date2022-10-07
Business Address
POROSHA GAINES IDD WAIVER SERVICES
106 MIZE ST APT 26
ELLISVILLE, MS 39437-2067
Phone number: 601-800-8564
Mailing Address
POROSHA GAINES IDD WAIVER SERVICES
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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