Organization
PLUMP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY LEE SMITH D.D.S. (DIRECTOR)
(251) 219-7876
Entity
Organization
Contact information
Practice address
806 DEERFIELD CT, MOBILE, AL 36608-3561
(251) 219-7876
(251) 219-7876
Mailing address
806 DEERFIELD CT, MOBILE, AL 36608-3561
(251) 219-7876
(251) 219-7876
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421601288
—
AL
Enumeration date
07/12/2015
Last updated
07/12/2015
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