Organization
SMILEY SMITH HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINITA SMILEY (DIRECTOR)
(404) 310-5122
Entity
Organization
Contact information
Practice address
1110 EAGLE POINTE DR, LAWRENCEVILLE, GA 30044-2244
(404) 310-5122
Mailing address
PO BOX 466734, LAWRENCEVILLE, GA 30042-6734
(404) 310-5122
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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