MEDICARE: ACHE GROUP SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1497903942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHE GROUP SERVICES, INC

Provider Business Mailing Address
First Line	:	165 W WIEUCA RD NE
Second Line	:	SUITE # 216
City	:	ATLANTA
State	:	GA
Zip	:	30342-3252
Country	:	US
Telephone Number	:	404-843-3744
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 W WIEUCA RD NE
Second Line	:	SUITE # 216
City	:	ATLANTA
State	:	GA
Zip	:	30342-3252
Country	:	US
Telephone Number	:	404-843-3744
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LEONILA N ORTIZ
Credential	:
Telephone Number	:	404-843-3744

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	10/16/2008

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Directions to “ACHE GROUP SERVICES, INC ” Practice Location

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