Provider Demographics
NPI:1295392546
Name:ADVANCED SUB-ACUTE FACILITIES LLC
Entity Type:Organization
Organization Name:ADVANCED SUB-ACUTE FACILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEO
Authorized Official - Prefix:
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKARUPELOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-445-2714
Mailing Address - Street 1:4701 BASQUE ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-2176
Mailing Address - Country:US
Mailing Address - Phone:818-205-6629
Mailing Address - Fax:
Practice Address - Street 1:4701 BASQUE ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2176
Practice Address - Country:US
Practice Address - Phone:818-205-6629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care