Individual
CHANTA MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 BEAVER DAM RD, MC HENRY, MS 39561-6053
(601) 723-9515
Mailing address
96 BEAVER DAM RD, MC HENRY, MS 39561-6053
(601) 723-9515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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