Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTA MONTRAILE SMITH, CNA
Active Sole ProprietorSHANTA MONTRAILE SMITH, CNA is a Custodial Care Facility healthcare provider located in GRIFFIN, Georgia. NPI 1982377271 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · GRIFFIN, GA
Registration Details
- NPI Number
- 1982377271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2021 (5.045345148065 yrs)
- Last Updated
- Aug 1, 2021
- License
-
PCH008442 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 W COLLEGE STGRIFFIN, GA, 302244220Browse GA providers · Browse ZIP 30224
- Phone
- 6787024639
- Fax
- 6786928131
- Primary Specialty
-
Custodial Care Facility
311Z00000X
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Bus
- Additional Specialty
- Custodial Care Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.