Organization
4UKARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTETTER SMITH (OWNER)
(850) 980-5029
Entity
Organization
Contact information
Practice address
821 GOODBREAD LN, TALLAHASSEE, FL 32303-6029
(850) 980-5029
Mailing address
PO BOX 38454, TALLAHASSEE, FL 32315-8454
(850) 980-5029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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