Provider Demographics
NPI:1073890547
Name:A'S INT'L, LLC, DBA GENTLE CARE
Entity Type:Organization
Organization Name:A'S INT'L, LLC, DBA GENTLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:KAP SOO
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-235-1220
Mailing Address - Street 1:PO BOX 503795
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-3795
Mailing Address - Country:US
Mailing Address - Phone:670-235-1220
Mailing Address - Fax:670-235-1220
Practice Address - Street 1:BEACH ROAD
Practice Address - Street 2:GARAPAN
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-3795
Practice Address - Country:US
Practice Address - Phone:670-235-1220
Practice Address - Fax:670-235-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP18304-0004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health