MEDICARE: SMITH & HONEY, 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
1	261QA0600X	Adult Day Care Clinic/Center	ADHC 5073	LA

General Provider Information

NPI Number	:	1871871467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH & HONEY, LLC

Provider Business Mailing Address
First Line	:	699 E SAINT PETER ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-3849
Country	:	US
Telephone Number	:	337-560-0099
Fax Number	:	337-560-0095

Provider Business Practice Location Address
First Line	:	699 E SAINT PETER ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-3849
Country	:	US
Telephone Number	:	337-560-0099
Fax Number	:	337-560-0095

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. ERNESTINE BURTON-EPPERSON
Credential	:	R.N.
Telephone Number	:	337-560-0099

Provider Enumeration Date	:	07/30/2011
Last Update Date	:	07/30/2011

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