Organization
IP NURSES AIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JASON SMITH (NONE AGENCY NURSES AIDE)
(740) 213-0567
Entity
Organization
Contact information
Practice address
123 CLARK ST, POWHATAN POINT, OH 43942-1261
(740) 795-5946
Mailing address
PO BOX 130, BEALLSVILLE, OH 43716-0130
(740) 213-0567
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/17/2007
Last updated
08/22/2020
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