Organization
RAYETTA SMITH DBA SMITH AND ASSOCIATES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYETTA KAY SMITH (OWNER)
(573) 359-2586
Entity
Organization
Contact information
Practice address
118 SOUTH THIRD ST., HAYTI, MO 63851
(573) 359-2586
(573) 695-7905
Mailing address
PO BOX 432, HAYTI, MO 63851-0432
(573) 359-2586
(573) 695-7905
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005701
SSBG
MO
05
—
SM264787904
—
MO
05
—
SM284787900
—
MO
Enumeration date
03/15/2007
Last updated
10/11/2022
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