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NPI Code Detail

MEDICARE: SMART SOLUTION, LLC

MEDICARE: SMART SOLUTION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1265861645
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMART SOLUTION, LLC
Provider Business Mailing Address
First Line : 3651 S LA BREA AVE # 488
Second Line :
City : LOS ANGELES
State : CA
Zip : 90016-5311
Country : US
Telephone Number : 323-335-4636
Fax Number :
Provider Business Practice Location Address
First Line : 3651 S LA BREA AVE # 488
Second Line :
City : LOS ANGELES
State : CA
Zip : 90016-5311
Country : US
Telephone Number : 323-335-4636
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : PROSPECT MLEMCHUKWU
Credential :
Telephone Number : 323-335-4636
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/05/2013

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Directions to “SMART SOLUTION, LLC ” Practice Location

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