Individual
BEVERLY CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 OLD OAK CIR, BRANDON, MS 39042-2611
(601) 616-2704
(769) 218-0011
Mailing address
PO BOX 1641, BRANDON, MS 39043-1641
(601) 616-2704
(769) 235-1035
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
MS
3747P1801X
Personal Care Attendant
—
MS
385H00000X
Respite Care
—
MS
Other
Enumeration date
06/15/2018
Last updated
01/22/2023
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