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Organization

A HAND UP REHABILITATION SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRIVA WATTS SANDERS CRC, CCSCC (OWNER/CEO)
(817) 800-0612
Entity
Organization

Contact information

Practice address
718 BOWMAR AVE, VICKSBURG, MS 39180-4603
(850) 363-0012
Mailing address
1651 OAK RIDGE RD, VICKSBURG, MS 39183-9310
(817) 800-0612

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
251J00000X
Nursing Care Agency
261QA0600X
Adult Day Care Clinic/Center
261QA0900X
Amputee Clinic/Center

Other

Enumeration date
02/06/2026
Last updated
02/06/2026
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