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NPI Profile for TIFFANY P COLLINS in BROOKHAVEN, MS.
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI # | 1659963924 |
|
| Status | Active | |
| Credentials | ADMINISTRATOR | |
| Entity | Individual | |
| Enumeration date | 02/08/2021 | |
| Last updated | 02/08/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TIFFANY P COLLINS
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TIFFANY P COLLINS, ADMINISTRATOR