Individual
SARAH WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 HILLTOP DR, HORN LAKE, MS 38637-1030
(662) 910-9408
Mailing address
3765 HILLTOP DR, HORN LAKE, MS 38637-1030
(662) 910-9408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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