Provider Demographics
NPI:1932445624
Name:OGLESMITH ENTERPRISES, INC.
Entity Type:Organization
Organization Name:OGLESMITH ENTERPRISES, INC.
Other - Org Name:AMAZING AGE-ADULT DAY STAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-970-9185
Mailing Address - Street 1:7306 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4217
Mailing Address - Country:US
Mailing Address - Phone:954-970-9185
Mailing Address - Fax:
Practice Address - Street 1:7306 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4217
Practice Address - Country:US
Practice Address - Phone:954-970-9185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9225261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care