Healthcare Provider Details

I. General information

NPI: 1003105404
Provider Name (Legal Business Name): ASCENSION ASSISTIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 04/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 TEXAS ST
CEDAR HILL TX
75104-2612
US

IV. Provider business mailing address

336 TEXAS ST
CEDAR HILL TX
75104-2612
US

V. Phone/Fax

Practice location:
  • Phone: 972-637-3473
  • Fax:
Mailing address:
  • Phone: 972-637-3473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. VERNITA J WEBB
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 972-637-3473