Individual
ALTHEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4387 NW 42ND TER, LAUDERDALE LAKES, FL 33319-3859
(954) 292-3596
(954) 729-2491
Mailing address
4387 NW 42ND TER, LAUDERDALE LAKES, FL 33319-3859
(954) 292-3596
(954) 729-2491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12624
—
FL
Enumeration date
06/16/2016
Last updated
06/16/2016
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