Provider Demographics
NPI:1043653140
Name:ASKEWHOLESALE
Entity Type:Organization
Organization Name:ASKEWHOLESALE
Other - Org Name:ASKEWHOLESALE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-298-0253
Mailing Address - Street 1:12510 WHITE BLUFF RD APT 205
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2270
Mailing Address - Country:US
Mailing Address - Phone:843-298-0253
Mailing Address - Fax:
Practice Address - Street 1:12510 WHITE BLUFF RD 205
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:843-298-0253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health