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Organization
SMITH'S HOME FOR ADULTS
Active
Organization
SMITH'S HOME FOR ADULTS
Active
Other names
Smiths Adult Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY GLENN SMITH LICENSED (ADMINISTRATOR- PRESIDENT)
(434) 685-1778
Entity
Organization
Contact information
Practice address
16069 MARTINSVILLE HWY, AXTON, VA 24054-1973
(434) 685-1778
(434) 685-2036
Mailing address
16069 MARTINSVILLE HWY, AXTON, VA 24054-1973
(434) 685-1778
(434) 685-2036
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RO07105
VA
Other
Enumeration date
04/24/2007
Last updated
07/15/2014
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