| NPI |
Provider Name |
Address |
Type |
| 1477277945 | DELIA BROWN-KEYS | 5192 HIGHWAY 11 N
ELLISVILLE, MS
ZIP 39437
Phone: (601) 425-3439
| Individual |
| 1316662984 | PAMELA DUCKSWORTH, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1548985997 | MARY FOWLER | 5192 HIGHWAY 11 N
ELLISVILLE, MS
ZIP 39437
Phone: (601) 649-7921
| Individual |
| 1386369726 | POROSHA GAINES, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1790400141 | LOVERTA JONES, IDD WAIVER SERVICES | 5192 HIGHWAY 11 N
ELLISVILLE, MS
ZIP 39437
Phone: (601) 649-7921
| Individual |
| 1871218222 | SHARIKA JONES, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1083339428 | PAMELA MCANDREWS, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1215653274 | JOANNE ROBINSON, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1487370441 | JACQUELINE ROGERS, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1205552288 | SHEILA VICKERS, IDD WAIVER SERVICES | 5192 HIGHWAY 11 N
ELLISVILLE, MS
ZIP 39437
Phone: (601) 649-7921
| Individual |
| 1457077430 | ROXIE WEST, IDD WAIVER SERVICES | 106 MIZE ST APT 26
ELLISVILLE, MS
ZIP 39437
Phone: (601) 800-8564
| Individual |
| 1992421986 | RANESHA WILLIAMS, IDD WAIVER SERVICES | 5192 HIGHWAY 11 N
ELLISVILLE, MS
ZIP 39437
Phone: (601) 649-7921
| Individual |