Provider Demographics
NPI:1760252852
Name:SMR HEALTHCARE MANAGEMENT, INC
Entity Type:Organization
Organization Name:SMR HEALTHCARE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-290-6226
Mailing Address - Street 1:4525 DEAN MARTIN DR UNIT 2308
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-8118
Mailing Address - Country:US
Mailing Address - Phone:714-290-6226
Mailing Address - Fax:
Practice Address - Street 1:4525 DEAN MARTIN DR UNIT 2308
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-8118
Practice Address - Country:US
Practice Address - Phone:714-290-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management