| NPI |
Provider Name |
Address |
Type |
| 1154046720 | CATHERINE DERRICK, IDD SERVICES | 1600 BROAD AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 213-5888
| Individual |
| 1851016299 | FRAXINE GRAVES, IDD WAIVER SERVICES | 1110 42ND AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-5540
| Individual |
| 1184340192 | JOYCE HOWARD, IDD WAIVER SERVICES | 1110 42ND AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-5525
| Individual |
| 1861118820 | MARY REYNOLDS, IDD WAIVER SERVICES | 1110 42ND AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-5525
| Individual |
| 1144946112 | JAVIER SARDIN, IDD WAIVER SERVICES | 1110 42ND AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 284-5525
| Individual |