Provider Demographics
NPI:1467243386
Name:SMITH, LATREECE
Entity type:Individual
Prefix:
First Name:LATREECE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LATREECE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HOME MAKER
Mailing Address - Street 1:5048 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2015
Mailing Address - Country:US
Mailing Address - Phone:216-972-1278
Mailing Address - Fax:
Practice Address - Street 1:5048 E 88TH ST
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2015
Practice Address - Country:US
Practice Address - Phone:216-972-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker