Individual
BARBARA DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4541 NW 10TH CT APT K203, PLANTATION, FL 33313-6763
(786) 285-8893
Mailing address
4541 NW 10TH CT APT K203, PLANTATION, FL 33313-6763
(786) 285-8893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255682258
—
FL
Enumeration date
12/11/2017
Last updated
02/12/2019
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