Provider Demographics
NPI:1215175419
Name:COELHO-ASHMAN INC
Entity type:Organization
Organization Name:COELHO-ASHMAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-632-8106
Mailing Address - Street 1:18058 W BRADBURY RD
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-9603
Mailing Address - Country:US
Mailing Address - Phone:209-632-8106
Mailing Address - Fax:209-667-4898
Practice Address - Street 1:18637 W BRADBURY RD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-9604
Practice Address - Country:US
Practice Address - Phone:209-632-8106
Practice Address - Fax:209-667-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health