Provider Demographics
NPI:1689191686
Name:SMART MEDI CARE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:SMART MEDI CARE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-891-0221
Mailing Address - Street 1:3317 FINLEY RD STE 114
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-1128
Mailing Address - Country:US
Mailing Address - Phone:972-891-0221
Mailing Address - Fax:
Practice Address - Street 1:5185 GETWELL RD
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9691
Practice Address - Country:US
Practice Address - Phone:972-891-0221
Practice Address - Fax:972-891-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health