Provider Demographics
NPI:1952033276
Name:A.S.H.A FAMILY SERVICES
Entity Type:Organization
Organization Name:A.S.H.A FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AARIUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHERROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-809-0694
Mailing Address - Street 1:4069 DORTCHES BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8168
Mailing Address - Country:US
Mailing Address - Phone:919-809-0694
Mailing Address - Fax:
Practice Address - Street 1:4069 DORTCHES BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8168
Practice Address - Country:US
Practice Address - Phone:919-809-0694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care