Healthcare Provider Details

I. General information

NPI: 1245351345
Provider Name (Legal Business Name): MASCHKE ASSOCIEATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MIMOSA DR
ASHEVILLE NC
28806-1719
US

IV. Provider business mailing address

136 MIMOSA DR
ASHEVILLE NC
28806-1719
US

V. Phone/Fax

Practice location:
  • Phone: 828-281-8131
  • Fax: 828-281-8177
Mailing address:
  • Phone: 828-281-8131
  • Fax: 828-281-8177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number State

VIII. Authorized Official

Name: ELLEN MASCHKE
Title or Position: V.P.
Credential:
Phone: 704-521-5072