Provider Demographics
NPI:1073945036
Name:ASL COMMUNITY DEVELOPMENT SERVICES
Entity Type:Organization
Organization Name:ASL COMMUNITY DEVELOPMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-524-9323
Mailing Address - Street 1:156 VANDIVER DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-0911
Mailing Address - Country:US
Mailing Address - Phone:704-735-9200
Mailing Address - Fax:704-735-9203
Practice Address - Street 1:156 VANDIVER DR
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-0911
Practice Address - Country:US
Practice Address - Phone:704-735-9200
Practice Address - Fax:704-735-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable