Reshettia Wynette Lucas
Home Health Aide in Meridian, MS. Individual provider (NPI-1).
NPI number1831920800
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1831920800
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Reshettia Wynette Lucas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
3128 8th St Ste AMeridian, MS 39301-4758
Phone 601-663-6000
Mailing address
3128 8th St Ste AMeridian, MS 39301-4758
Phone 601-663-6000
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