Healthcare Provider Details

I. General information

NPI: 1154965515
Provider Name (Legal Business Name): ACC MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 10/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10017 BIRD RIVER RD
BALTIMORE MD
21220-1500
US

IV. Provider business mailing address

10017 BIRD RIVER RD
BALTIMORE MD
21220-1500
US

V. Phone/Fax

Practice location:
  • Phone: 443-324-9747
  • Fax:
Mailing address:
  • Phone: 443-324-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLES AWUJO
Title or Position: OWNER/ADMIN
Credential:
Phone: 443-324-9747