# AARON J SMITH & SOPHIA KIBUISMITH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992577175
- **Authorized official:** AARON J SMITH (MANAGER)
- **Authorized official phone:** (650) 440-0022

## Contact information

- **Practice address:** 4811 5TH AVE S, ST PETERSBURG, FL 33711-1421
- **Practice address phone:** (650) 440-0022
- **Mailing address:** 4811 5TH AVE S, ST PETERSBURG, FL 33711-1421
- **Mailing address phone:** (650) 440-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 10/23/2023