Individual provider · Type 1 NPI

Demarcus Anton Rideout

Respite Care · Columbia, MS

NPI number 1104169648 Active

Practice location

1119 Highway 13 S
Columbia, MS 39429-8226

Specialties and licenses

TaxonomyCodeLicense
Respite Care Primary 385H00000XNone listed

Respite Care: Definition to come.

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About NPI 1104169648

Demarcus Anton Rideout's National Provider Identifier is 1104169648, issued on Apr 3, 2013. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Columbia, MS. The record was last updated on Apr 3, 2013.