Letha Demetra Warren in Columbia - Homemaker

Letha Demetra Warren - NPI 1770767030

Letha Demetra Warren is a Homemaker in Columbia, Mississippi. Letha Demetra Warren practices all healthcare services and medical treatments related to Homemaker. The NPI Number for Letha Demetra Warren is 1770767030. The last update date is 2021-01-22.

Letha Demetra Warren's current location address is 306 S High School Ave, Columbia, Mississippi. You can contact this provider via phone number 6017364035 and fax number 6017364037. The mailing address for Letha Demetra Warren is 306 S High School Ave, Columbia, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Letha Demetra Warren
Address 306 S High School Ave, Columbia, Mississippi
Phone Number 6017364035
Fax Number 6017364037
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1770767030
Provider Enumeration Date 2007-12-21
Last Updated Date 2021-01-22

Provider Mailing Address Detail

Address 306 S High School Ave
City Columbia
State Mississippi (MS)
Post Code 394293414
Phone Number 6017364035
Fax Number 6017364037

Provider's Primary Taxonomy Detail

Speciality Homemaker
Taxonomy 376J00000X
Licence No 376J00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2323791 MS --
1631705 MS --
3907701 MS --

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FAQs about Letha Demetra Warren

What is the unique identification code assigned to Letha Demetra Warren by the Centers for Medicare & Medicaid Services?

The Letha Demetra Warren has been issued the NPI (National Provider Identifier) 1770767030. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Letha Demetra Warren?

The Letha Demetra Warren is physically situated at 306 S High School Ave, in the city of Columbia, state of MS, with the postal code 394293414.

What is the Letha Demetra Warren's specialty and taxonomy code?

The Letha Demetra Warren's specialty is Homemaker, and the corresponding taxonomy code is 376J00000X.

When was the Letha Demetra Warren's 1770767030 issued?

The Letha Demetra Warren's 1770767030 was issued on 2007-12-21.

As of what date were the details related to Letha Demetra Warren most recently updated or revised?

The information pertaining to Letha Demetra Warren, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-22.

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