Provider Demographics
NPI:1245619550
Name:SMITH & WILLIAMS COMMUNITY HEALTHCARE LLC
Entity Type:Organization
Organization Name:SMITH & WILLIAMS COMMUNITY HEALTHCARE LLC
Other - Org Name:SMITH & WILLIAMS COMMUNITY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-224-1118
Mailing Address - Street 1:303 3RD ST.
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868
Mailing Address - Country:US
Mailing Address - Phone:281-224-1118
Mailing Address - Fax:888-825-1327
Practice Address - Street 1:303 3RD ST.
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868
Practice Address - Country:US
Practice Address - Phone:281-224-1118
Practice Address - Fax:888-825-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care