Hailes, Latonya
Hailes, Latonya is an sole proprietor health care provider with primary practice located at 128 Deer Run Rd , Hattiesburg MS 39402-6205. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Hailes, Latonya can be contacted via phone (601) 410-5836.Contact Information
Primary practice address
128 Deer Run Rd
Hattiesburg MS 39402-6205
Phone: (601) 410-5836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | Mississippi | |
| Other Service Providers / Community Health Worker | 172V00000X | Mississippi |
Profile Details
| NPI number | 1487800710 |
|---|---|
| LBN Legal business name | Hailes, Latonya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487800710 | NPPES |
| Mississippi | MEDICAID | 02671051 |
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