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Organization

STEPS SOUTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAURIO TERRELL MCKELLER (OWNER)
(601) 640-0555
Entity
Organization

Contact information

Practice address
107 DEWITT CIRCLE, HATTIESBURG, MS 39402
(702) 518-5928
Mailing address
PO BOX 1163, PRENTISS, MS 39474-1163
(601) 640-0555

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
251E00000X
Home Health Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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