Provider Demographics
NPI:1174361364
Name:ASEDA COMMUNITY SUPPORT INC
Entity type:Organization
Organization Name:ASEDA COMMUNITY SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHEAMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-762-6550
Mailing Address - Street 1:1 COURTHOUSE LN STE 15
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1736
Mailing Address - Country:US
Mailing Address - Phone:508-762-6550
Mailing Address - Fax:978-219-0090
Practice Address - Street 1:1 COURTHOUSE LN STE 15
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1736
Practice Address - Country:US
Practice Address - Phone:508-762-6550
Practice Address - Fax:978-219-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities