Provider Demographics
NPI:1992206106
Name:RITCHIE, DEBORAH DIANE
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:DIANE
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 REEVES RD
Mailing Address - Street 2:
Mailing Address - City:POTTSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75076-7063
Mailing Address - Country:US
Mailing Address - Phone:903-821-2823
Mailing Address - Fax:
Practice Address - Street 1:1424 REEVES RD
Practice Address - Street 2:
Practice Address - City:POTTSBORO
Practice Address - State:TX
Practice Address - Zip Code:75076-7063
Practice Address - Country:US
Practice Address - Phone:903-821-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home