Provider Demographics
NPI:1730747304
Name:A SHARP CLEAN & SPECIALTY SERVICES LLC
Entity type:Organization
Organization Name:A SHARP CLEAN & SPECIALTY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-320-4007
Mailing Address - Street 1:200 E LAMAR BLVD. STE 600
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7440
Mailing Address - Country:US
Mailing Address - Phone:682-320-4007
Mailing Address - Fax:682-354-4309
Practice Address - Street 1:200 E LAMAR BLVD.
Practice Address - Street 2:SUITE 600
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7440
Practice Address - Country:US
Practice Address - Phone:682-320-4007
Practice Address - Fax:682-354-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care