IndividualActive
Lashay Wise, IDD WAIVER SERVICES
NPI 1548986540 · Day Training/Habilitation Specialist · Hattiesburg, MS
Provider details
- NPI number
- 1548986540
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Credential
- IDD WAIVER SERVICES
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
41 Bonhomie Rd
Hattiesburg, MS 39401-8648
Phone: (601) 450-0431
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2022-10-12
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.