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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LETHA DEMETRA WARREN

Active Sole Proprietor

MRS. LETHA DEMETRA WARREN is a Respite Care healthcare provider located in COLUMBIA, Mississippi. NPI 1770767030 is currently active in the NPPES registry. Verify at CMS.

Respite Care · COLUMBIA, MS

Registration Details

NPI Number
1770767030
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2007 (18.624814807747 yrs)
Last Updated
Jan 22, 2021
Licenses
343900000X (MS)
376J00000X (MS)
385H00000X (MS)
Sole Proprietor
Yes

Practice Information

Address
306 S HIGH SCHOOL AVE
COLUMBIA, MS, 394293414
Browse MS providers · Browse ZIP 39429
Phone
6017361448
Fax
6017366067
Primary Specialty
Respite Care
385H00000X
Additional Specialty
Homemaker
Additional Specialty
Respite Care

Other Respite Care Providers in COLUMBIA, MS

Name Credential NPI
DEMARCUS ANTON RIDEOUT 1104169648
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.