Individual
LONTISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
145 N CHURCH ST STE B102, SPARTANBURG, SC 29306-5144
(864) 767-8733
Mailing address
PO BOX 2391, SPARTANBURG, SC 29304-2391
(864) 764-8733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-1562
SC
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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