Organization
ASANTE COMMUNITY SERVICES LLC
Active
Other names
Asante Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
GREG G WOJTAL (CAFO)
(541) 789-4549
Entity
Organization
Contact information
Practice address
700 SW RAMSEY, SUITE 101, GRANTS PASS, OR 97527-5554
(541) 507-2680
Mailing address
500 SW RAMSEY AVENUE, GRANTS PASS, OR 97527-5554
(541) 507-2680
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298523
—
OR
Enumeration date
01/05/2007
Last updated
04/27/2023
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