Provider Demographics
NPI:1336562800
Name:ASHLEY ROBINSON
Entity Type:Organization
Organization Name:ASHLEY ROBINSON
Other - Org Name:DYNAMIC HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PLAN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-649-0526
Mailing Address - Street 1:1839 S PARKWAY E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-1912
Mailing Address - Country:US
Mailing Address - Phone:901-649-0526
Mailing Address - Fax:901-785-4150
Practice Address - Street 1:1839 S PARKWAY E
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-1912
Practice Address - Country:US
Practice Address - Phone:901-649-0526
Practice Address - Fax:901-785-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care