Healthcare Provider Details

I. General information

NPI: 1295738359
Provider Name (Legal Business Name): ACCU-BIL MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date: 05/05/2008
Reactivation Date: 05/20/2008

III. Provider practice location address

3070 PRESIDENTIAL DR SUITE 250
FAIRBORN OH
45324
US

IV. Provider business mailing address

3070 PRESIDENTIAL DR SUITE 250
FAIRBORN OH
45324
US

V. Phone/Fax

Practice location:
  • Phone: 937-426-4422
  • Fax: 937-320-6243
Mailing address:
  • Phone: 937-426-4422
  • Fax: 937-320-6243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0
License Number StateOH

VIII. Authorized Official

Name: MRS. LILLIE M WEBSTER
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: RN
Phone: 937-426-4422