Individual
KATISHA M MCCUISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
513 MARTIN LUTHER KING JR DR, DUCK HILL, MS 38925-9550
(662) 739-2848
Mailing address
513 MARTIN LUTHER KING JR DR, DUCK HILL, MS 38925-9550
(662) 739-2848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
76459
MS
253J00000X
Foster Care Agency
76459
MS
253Z00000X
In Home Supportive Care Agency
76459
MS
261QA0600X
Adult Day Care Clinic/Center
76459
MS
261QV0200X
VA Clinic/Center
76459
MS
282E00000X
Long Term Care Hospital
76459
MS
3747P1801X
Personal Care Attendant
76459
MS
376K00000X
Nurse's Aide
76459
MS
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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