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General NPI Number Information
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NPI Number | 1194164491
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Entity Type | Organization
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Legal Business Name | SMITH HEALTHCARE SERVICE LLC
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 442 COTTAGE HILL RD APT A101
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City | MOBILE
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State | AL
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Zip | 36606-4726
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Country | US
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Telephone | 251-554-3238
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Fax |
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Provider Business Mailing Address
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Address Line | 442 COTTAGE HILL RD APT A101
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City | MOBILE
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State | AL
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Zip | 36606-4726
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Country | US
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Telephone | 251-552-3238
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Fax |
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Authorized Official
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Title or Position | OWER
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Name | MRS. JUDY COLLEEN SMITH
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Credential |
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Telephone | 251-554-3238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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