Warren, Letha Demetra

Warren, Letha Demetra is an sole proprietor health care provider with primary practice located at 306 S High School Ave , Columbia MS 39429-3414. She recently has 3 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is her primary health care specialty. Warren, Letha Demetra can be contacted via phone (601) 736-1448.

Contact Information

Primary practice address
306 S High School Ave Columbia MS 39429-3414
Phone: (601) 736-1448
Fax: (601) 736-6067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 343900000X Mississippi
Nursing Service Related Providers / Homemaker 376J00000X 376J00000X Mississippi
Respite Care Facility / Respite Care 385H00000X 385H00000X Mississippi

Profile Details

NPI number 1770767030
LBN Legal business name Warren, Letha Demetra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2007
Last updated Jan 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770767030 NPPES
Mississippi MEDICAID 02323791
Mississippi MEDICAID 01631705
Mississippi MEDICAID 03907701

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