Organization Name: | SASHA HEALTH CARE ENTERPRISES LLC |
NPI Number: | 1134361835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA ANN JENKINS (OWNER) |
Mailing Address: | 3628 Pertshall Rd Ferguson |
State: | MO US |
Postal Code: | 631351410 |
Phone Number: | 3142586041 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |