Provider Demographics
NPI:1356589535
Name:SMART FAMILY ENTERPRISES, LLC
Entity type:Organization
Organization Name:SMART FAMILY ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMART
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-443-3333
Mailing Address - Street 1:106 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:PLUM BRANCH
Mailing Address - State:SC
Mailing Address - Zip Code:29845-2100
Mailing Address - Country:US
Mailing Address - Phone:864-443-3333
Mailing Address - Fax:864-443-3334
Practice Address - Street 1:106 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:PLUM BRANCH
Practice Address - State:SC
Practice Address - Zip Code:29845-2100
Practice Address - Country:US
Practice Address - Phone:864-443-3333
Practice Address - Fax:864-443-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment