MEDICARE: ACATT LLC

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1558924290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACATT LLC

Provider Business Mailing Address
First Line	:	6963 RUNNER OAK DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4831
Country	:	US
Telephone Number	:	720-318-3581
Fax Number	:

Provider Business Practice Location Address
First Line	:	6963 RUNNER OAK DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4831
Country	:	US
Telephone Number	:	720-318-3581
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GERALD WASHINGTON
Credential	:
Telephone Number	:	720-318-3581

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/18/2019

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Directions to “ACATT LLC ” Practice Location

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