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Organization

OKIDA SMILES, LLC

Active
Other names
Home Helpers/Direct Link
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM SIMON (PRESIDENT)
(804) 837-2196
Entity
Organization

Contact information

Practice address
9507 HULL STREET RD, SUITE G-1, RICHMOND, VA 23236-1476
(804) 837-2196
Mailing address
9507 HULL STREET RD, SUITE G-1, RICHMOND, VA 23236-1476
(804) 837-2196

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0001160918
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0156115021
API
VA
Enumeration date
12/12/2008
Last updated
12/15/2008
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