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Roger Dale Smith
Homemaker in Caruthersville, Missouri
NPI 1487868196

Roger Dale Smith is a Homemaker based in Caruthersville, MO. Roger Dale Smith practices in Caruthersville, MO. The NPI Number for Roger Dale Smith is 1487868196 and holds a License No. (Missouri).

The current practice location address for Roger Dale Smith is 509 Ward Ave, Caruthersville, MO and can be reached out via phone at 573-333-5777 and via fax at 573-333-2545.

Location: 509 Ward Ave, Caruthersville, MO, 63830-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487868196
Provider Name
Roger Dale Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
509 Ward Ave, Caruthersville, MO, 63830-1661
Phone Number
573-333-5777
Fax Number
573-333-2545
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
268949609 05 MO
858949605 05 MO
288949605 05 MO
institution
Provider Business Practice Location Address Details
Address
509 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1661
Phone Number
573-333-5777
Fax Number
573-333-2545
person
Provider Business Mailing Address Details
Address
509 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1661
Phone Number
573-333-5777
Fax Number
573-333-2545
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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