Provider Demographics
NPI:1992284244
Name:SMILE GROUP LIMITED
Entity type:Organization
Organization Name:SMILE GROUP LIMITED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:ADESOLA
Authorized Official - Last Name:ALAGBADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-288-4795
Mailing Address - Street 1:5101 N A ST APT 160
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5101 N A ST APT 160
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2164
Practice Address - Country:US
Practice Address - Phone:720-288-4795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA