Organization
SMITH'S HOME FOR ADULTS
Active
Other names
Smiths Adult Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY GLENN SMITH LICENSED (ADMINISTRATOR- PRESIDENT)
(434) 685-1778
Entity
Organization
Contact information
Practice address
16069 MARTINSVILLE HWY, AXTON, VA 24054-1973
(434) 685-1778
(434) 685-2036
Mailing address
16069 MARTINSVILLE HWY, AXTON, VA 24054-1973
(434) 685-1778
(434) 685-2036
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RO07105
VA
Other
Enumeration date
04/24/2007
Last updated
07/15/2014
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