NPI 1104169648

Demarcus Anton Rideout

Practitioner Respite Care Columbia, MS

Practice location

Address: 1119 Highway 13 S, Columbia, MS 39429-8226
Phone: (601) 441-7434

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in Mississippi →

Registry record

NPI: 1104169648
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2013
Record last updated: 3 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.