Provider Demographics
NPI:1497870794
Name:ASKE SENIOR SERVICE CORPORATION
Entity Type:Organization
Organization Name:ASKE SENIOR SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-604-4916
Mailing Address - Street 1:12510 WHITE BLUFF RD APT 205
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2270
Mailing Address - Country:US
Mailing Address - Phone:912-306-7683
Mailing Address - Fax:
Practice Address - Street 1:12510 WHITE BLUFF RD APT 205
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-2270
Practice Address - Country:US
Practice Address - Phone:912-306-7683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service