Provider Demographics
NPI:1407550239
Name:ASC SERVICES, LLC
Entity Type:Organization
Organization Name:ASC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-514-5066
Mailing Address - Street 1:60 CHELSEA CORS # 3080
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-7401
Mailing Address - Country:US
Mailing Address - Phone:205-514-5066
Mailing Address - Fax:866-984-4212
Practice Address - Street 1:130 FUNDERBURG LN
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-8617
Practice Address - Country:US
Practice Address - Phone:205-514-5066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health