Healthcare Provider Details

I. General information

NPI: 1093989311
Provider Name (Legal Business Name): SMARTCARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1689 CROWN AVE
LANCASTER PA
17601-6314
US

IV. Provider business mailing address

1689 CROWN AVE
LANCASTER PA
17601-6314
US

V. Phone/Fax

Practice location:
  • Phone: 717-672-0190
  • Fax:
Mailing address:
  • Phone: 717-672-0190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER E MOUNTIS
Title or Position: DIRECTOR
Credential:
Phone: 717-672-0190