Individual
MS. NITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Mailing address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0007914
MO
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273564356
—
MO
Enumeration date
08/09/2010
Last updated
04/23/2019
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