Organization
CODE BLEW HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTAE L SMITH LPN (OWNER)
(772) 940-7143
Entity
Organization
Contact information
Practice address
2888 DOE RUN TRL, ORANGE CITY, FL 32763-8341
(772) 940-7143
Mailing address
2888 DOE RUN TRL, ORANGE CITY, FL 32763-8341
(772) 940-7143
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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