Provider Demographics
NPI:1447587571
Name:THE JASMINE CHARITABLE TRUST
Entity Type:Organization
Organization Name:THE JASMINE CHARITABLE TRUST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:HSD, PHD
Authorized Official - Phone:757-838-7000
Mailing Address - Street 1:782 BELLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2806
Mailing Address - Country:US
Mailing Address - Phone:757-838-7000
Mailing Address - Fax:757-827-6913
Practice Address - Street 1:782 BELLWOOD RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2806
Practice Address - Country:US
Practice Address - Phone:757-838-7000
Practice Address - Fax:757-827-6913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment