Morietta Smith
NPI #1316591894 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1316591894
- Entity Type
- Individual
- Name
- Morietta Smith
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Aug 1, 2019
Practice Location
- Address
- 605 OLD SAVANNAH DR
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-9600
- Phone
- (228) 383-4448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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| Kevin Stage, LPN | |
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Organizations
| Provider Name | |
|---|---|
| Home Community Base Waiver - Ess | |
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