Healthcare Provider Details

I. General information

NPI: 1548520562
Provider Name (Legal Business Name): SMOSSKA EHEALTH SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 EBENEZER RD
DARLINGTON SC
29532-7603
US

IV. Provider business mailing address

1522 EBENEZER RD
DARLINGTON SC
29532-7603
US

V. Phone/Fax

Practice location:
  • Phone: 877-881-4415
  • Fax: 803-753-9836
Mailing address:
  • Phone: 877-881-4415
  • Fax: 803-753-9836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 877-881-4415