Healthcare Provider Details
I. General information
NPI: 1295072817
Provider Name (Legal Business Name): SMT CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2013
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2603 ELM HILL PIKE STE I
NASHVILLE TN
37214-3156
US
IV. Provider business mailing address
2603 ELM HILL PIKE STE I
NASHVILLE TN
37214-3156
US
V. Phone/Fax
- Phone: 615-883-4060
- Fax: 615-883-4065
- Phone: 615-883-4060
- Fax: 615-883-4065
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | TN |
VIII. Authorized Official
Name: MRS.
MAXIE
LORAINE
ROBINSON
Title or Position: EXECUTIVE DIRECTOR
Credential: BS
Phone: 615-883-4060