Reynolds, Mary

Reynolds, Mary is an individual health care provider with primary practice located at 1110 42Nd Ave , Gulfport MS 39501-2663. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Reynolds, Mary can be contacted via phone (228) 284-5525.

Contact Information

Primary practice address
1110 42Nd Ave Gulfport MS 39501-2663
Phone: (228) 284-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1861118820
LBN Legal business name Reynolds, Mary
Credentials IDD WAIVER SERVICES
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 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.

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