Individual
LATEYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 BAILEY ST, COLUMBIA, SC 29203-7438
(717) 472-7579
Mailing address
5 CLUSTERS CT # 104, COLUMBIA, SC 29210-4831
(803) 233-7554
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-1147
SC
Other
Enumeration date
08/26/2019
Last updated
06/09/2020
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