Healthcare Provider Details

I. General information

NPI: 1871871467
Provider Name (Legal Business Name): SMITH & HONEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2011
Last Update Date: 07/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 E SAINT PETER ST
NEW IBERIA LA
70560-3849
US

IV. Provider business mailing address

699 E SAINT PETER ST
NEW IBERIA LA
70560-3849
US

V. Phone/Fax

Practice location:
  • Phone: 337-560-0099
  • Fax: 337-560-0095
Mailing address:
  • Phone: 337-560-0099
  • Fax: 337-560-0095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADHC 5073
License Number StateLA

VIII. Authorized Official

Name: MS. ERNESTINE BURTON-EPPERSON
Title or Position: OWNER/ADMINISTRATOR
Credential: R.N.
Phone: 337-560-0099