Organization
SMYRNA ENTERPRISES, INC
Active
Other names
Quality Continuum Hospice & Home HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN O SMITH OWNER (PRESIDENT)
(505) 425-3880
Entity
Organization
Contact information
Practice address
518 VALENCIA ST, LAS VEGAS, NM 87701-3716
(505) 425-3880
(505) 425-2929
Mailing address
518 VALENCIA ST, LAS VEGAS, NM 87701-3716
(505) 425-3880
(505) 425-2929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3221
NM
251G00000X
Community Based Hospice Care Agency
Primary
3209
NM
251G00000X
Community Based Hospice Care Agency
3211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209
STATE LICENSE
NM
01
—
3211
STATE LICENSE
NM
01
—
3221
STATE LICENSE
NM
Enumeration date
10/20/2006
Last updated
10/10/2011
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