Organization Name: | S. & M.S. LLC |
NPI Number: | 1114008331 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE RENE SHAW (DON/ADMINISTRATOR) |
Mailing Address: | 208 S 31st Street Corsicana |
State: | TX US |
Postal Code: | 75110 |
Phone Number: | 9038747700 |
Fax Number: | 9038747705 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 009915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |