MEDICARE: JANAY SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1326867516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAY SMITH

Provider Business Mailing Address
First Line	:	1850 13TH ST SW
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-2948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 13TH ST SW
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44314-2948
Country	:	US
Telephone Number	:	330-388-3055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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Directions to “ JANAY SMITH ” Practice Location

Language	Start Address	Practice Location

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