| Doctor Name: | DARYL SMITH |
| NPI Number: | 1144630237 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNA, CBRF CERTIFIED |
| License Number: | NA303604 |
| Business Practice Address: | 7050 N Presidio Dr Apt G Milwaukee, WI - 532236320 |
| Business Phone Number: | 4144302938 |
| Business Fax Number: | |
| Mailing Address: | 7050 N Presidio Dr Apt G, MILWAUKEE |
| State: | WI |
| Postal Code: | 532236320 |
| Phone Number: | 4144302938 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | NA303604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |