IndividualActive
Tiffany Collins, ADMINISTRATOR
NPI 1659963924 · Child Intellectual and/or Developmental Disabilities Respite Care · Brookhaven, MS
Provider details
- NPI number
- 1659963924
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Credential
- ADMINISTRATOR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
Practice location
135 E Warren Ave
Brookhaven, MS 39601-4146
Phone: (601) 919-6294
Fax: (866) 982-3424
Approximate (ZIP-level) locationGet directions
Mailing address
2982 James Dr Nw
Wesson, MS 39191-9613
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.