Organization
JR SMITH PROFESSIONAL SERVICES
Active
Other names
Shelter Island Homecare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL WILLIAM SMITH (CEO/PRESIDENT)
(631) 749-5804
Entity
Organization
Contact information
Practice address
13A EAST THOMAS STREET, SHELTER ISLAND, NY 11964
(631) 749-5113
(631) 749-5803
Mailing address
PO BOX 1848, SHELTER ISLAND, NY 11964-1848
(631) 749-5113
(631) 749-5803
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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