Provider Demographics
NPI:1063744688
Name:ACES HOME HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:ACES HOME HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBYE
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-447-4444
Mailing Address - Street 1:4959 PALO VERDE ST STE 206A-6
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2342
Mailing Address - Country:US
Mailing Address - Phone:909-447-4444
Mailing Address - Fax:909-447-4445
Practice Address - Street 1:4959 PALO VERDE ST STE 206A-6
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2342
Practice Address - Country:US
Practice Address - Phone:909-447-4444
Practice Address - Fax:909-447-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55008443251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health