OrganizationActive
1115 Smith Opco LLC
NPI 1487276184 · Assisted Living Facility · Thomasville, GA
Provider details
- NPI number
- 1487276184
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Ryan Person, Director of Business Development
Mailing address
3630 Illinois Rd
Fort Wayne, IN 46804-2062
Registry dates
- Enumerated
- 2020-05-15
- Last updated
- 2020-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.