Provider Demographics
NPI:1346948403
Name:LILAC CENTER OF ASHEVILLE LLC
Entity Type:Organization
Organization Name:LILAC CENTER OF ASHEVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAFTULI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLUSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-970-5000
Mailing Address - Street 1:390 S FRENCH BROAD AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4364
Mailing Address - Country:US
Mailing Address - Phone:828-970-5000
Mailing Address - Fax:828-970-5555
Practice Address - Street 1:390 S FRENCH BROAD AVE UNIT C
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4364
Practice Address - Country:US
Practice Address - Phone:718-913-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing