MRS. DORTHA RIDEOUT

Home Health Aide

Active Individual
NPI: 1194231399

Practice Address

2649 PALMER DR
Gulfport, MS 39507

Phone: (228) 731-3257

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1194231399 is the National Provider Identifier for MRS. DORTHA RIDEOUT, a Home Health Aide provider located in Gulfport, MS. This NPI was enumerated on December 26, 2017.
MRS. DORTHA RIDEOUT practices at 2649 PALMER DR, Gulfport, MS 39507.

Quick Facts

NPI
1194231399
Type
Individual
Enumerated
Dec 26, 2017
Last Updated
Dec 26, 2017

Nearby Providers