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Mrs. Letha Demetra Warren
Respite Care in Columbia, Mississippi
NPI 1770767030

Letha Demetra Warren is a Respite Care based in Columbia, MS. Letha Demetra Warren practices in Columbia, MS. The NPI Number for Letha Demetra Warren is 1770767030 and holds a License No. 343900000X (Mississippi).

The current practice location address for Letha Demetra Warren is 306 S High School Ave, Columbia, MS and can be reached out via phone at 601-736-1448 and via fax at 601-736-6067. You can also correspond with Letha Demetra Warren through the mailing address at 306 S HIGH SCHOOL AVE, COLUMBIA, MS - 39429-3414 (mailing address contact number: 601-736-4035).

Location: 306 S High School Ave, Columbia, MS, 39429-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770767030
Provider Name
Letha Demetra Warren
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 S High School Ave, Columbia, MS, 39429-3414
Phone Number
601-736-1448
Fax Number
601-736-6067
Provider Enumeration Date
12/21/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02323791 05 MS
01631705 05 MS
03907701 05 MS
institution
Provider Business Practice Location Address Details
Address
306 S High School Ave
City
Columbia
State
Mississippi
Zip
39429-3414
Phone Number
601-736-1448
Fax Number
601-736-6067
person
Provider Business Mailing Address Details
Address
306 S High School Ave
City
Columbia
State
Mississippi
Zip
39429-3414
Phone Number
601-736-1448
Fax Number
601-736-6067
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
385H00000X (Mississippi)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
376J00000X (Mississippi)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
343900000X (Mississippi)
Definition
Definition to come.
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