Provider Demographics
NPI:1770924037
Name:ASMART SENIOR CARE, INC
Entity type:Organization
Organization Name:ASMART SENIOR CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-559-0362
Mailing Address - Street 1:410 GRIFFIN AVE APT A
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-9207
Mailing Address - Country:US
Mailing Address - Phone:478-559-0362
Mailing Address - Fax:770-489-4339
Practice Address - Street 1:410 GRIFFIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-9206
Practice Address - Country:US
Practice Address - Phone:478-559-0362
Practice Address - Fax:770-489-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health