Organization
A SMITH AT YOUR SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAQONDA DESHAY SMITH (CNA)
(309) 350-1213
Entity
Organization
Contact information
Practice address
2504 7TH AVE, ROCK ISLAND, IL 61201-9027
(309) 350-1213
Mailing address
2504 7TH AVE, ROCK ISLAND, IL 61201-9027
(309) 350-1213
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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