Provider Demographics
NPI:1235440264
Name:SILASMASIH IN-HOME THERAPY SERVICES,LLC
Entity Type:Organization
Organization Name:SILASMASIH IN-HOME THERAPY SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SILAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MASIH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-490-2216
Mailing Address - Street 1:184 PARKSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4977
Mailing Address - Country:US
Mailing Address - Phone:770-490-2216
Mailing Address - Fax:
Practice Address - Street 1:184 PARKSTONE WAY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4977
Practice Address - Country:US
Practice Address - Phone:770-490-2216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty