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General NPI Number Information
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NPI Number | 1861413205
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Entity Type | Organization
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Legal Business Name | ANCILLARY SERVICES MANAGEMENT, LLC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 333 NORTH SUMMIT STREET ATTN: APRIL TERRY
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 419-252-6011
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Fax | 800-375-5492
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Provider Business Mailing Address
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Address Line | 333 NORTH SUMMIT STREET ATTN: APRIL TERRY
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 419-252-6011
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Fax | 800-375-5492
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL H KIGHT
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Credential |
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Telephone | 419-252-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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