Jimmie L Smith

NPI #1336314038 in Cleveland, Texas

Provider Information

NPI Number: 1336314038
Entity Type: Organization
Organization Name: Jimmie L Smith
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 18350 E HIGHWAY 105 STE A
City: Cleveland
State: Texas
ZIP Code: 77328-2440
Phone: (281) 432-1810

Authorized Official

Name: MRS. JUDY L SMITH
Title: BOOKKEEPER
Phone: (281) 432-1810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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