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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TWANNA LENITA WALLACE

Active Sole Proprietor

TWANNA LENITA WALLACE is a Home Health healthcare provider located in HAZLEHURST, Mississippi. NPI 1376028712 is currently active in the NPPES registry. Verify at CMS.

Home Health · HAZLEHURST, MS

Registration Details

NPI Number
1376028712
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2018 (7.7199369120592 yrs)
Last Updated
Oct 2, 2018
Sole Proprietor
Yes

Practice Information

Address
321 JACKSON ST
HAZLEHURST, MS, 390832113
Browse MS providers · Browse ZIP 39083
Phone
6015000027
Fax
6012774039
Primary Specialty
Home Health
251E00000X

Other Home Health Providers in HAZLEHURST, MS

Name Credential NPI
DIANA BOGAN 1144939166
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.