Individual provider · Type 1 NPI

Demetrius Vinde Lewis

Nursing Home Administrator · Columbus, GA

NPI number 1295093086 Active

Practice location

1314 Pagoda Dr
Columbus, GA 31907-4439

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLPN052272 (GA)
Nursing Home Administrator Primary 376G00000XNIIA005224 (GA)

Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.

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About NPI 1295093086

Demetrius Vinde Lewis's National Provider Identifier is 1295093086, issued on Apr 30, 2012. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Columbus, GA. The record was last updated on Apr 30, 2012.