Individual
THOREAUSA HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 RED LIGHT RD, BRANDON, MS 39042-9492
(601) 940-3825
Mailing address
110 RED LIGHT RD, BRANDON, MS 39042-9492
(601) 940-3825
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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