Individual
KINESHA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2766 HIGHWAY 13 S, COLUMBIA, MS 39429-7205
(601) 674-2551
Mailing address
2766 HIGHWAY 13 S, COLUMBIA, MS 39429-7205
(601) 674-2551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
MS
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
MS
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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