Provider Demographics
NPI:1063055119
Name:ACCESSIBLE SERVICES LLC
Entity type:Organization
Organization Name:ACCESSIBLE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DINAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEAC
Authorized Official - Phone:352-515-6329
Mailing Address - Street 1:14391 SPRING HILL DR STE 165
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8199
Mailing Address - Country:US
Mailing Address - Phone:352-515-6329
Mailing Address - Fax:
Practice Address - Street 1:14505 RIALTO AVE
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5050
Practice Address - Country:US
Practice Address - Phone:352-515-6329
Practice Address - Fax:354-535-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management