Provider Demographics
NPI:1710609433
Name:STRIVE SMART PROFESSIONAL SERVICES INC
Entity Type:Organization
Organization Name:STRIVE SMART PROFESSIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:
Authorized Official - Last Name:BELOCURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-315-9184
Mailing Address - Street 1:11517 36TH ST E
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98372-2093
Mailing Address - Country:US
Mailing Address - Phone:253-315-9184
Mailing Address - Fax:
Practice Address - Street 1:11517 36TH ST E
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98372-2093
Practice Address - Country:US
Practice Address - Phone:253-315-9184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty