Provider Demographics
NPI:1215506944
Name:ACE HEALTHY PRODUCTS LLC
Entity type:Organization
Organization Name:ACE HEALTHY PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-999-9339
Mailing Address - Street 1:907 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-8306
Mailing Address - Country:US
Mailing Address - Phone:937-999-9339
Mailing Address - Fax:937-305-9350
Practice Address - Street 1:840 GERMANTOWN STREET
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402
Practice Address - Country:US
Practice Address - Phone:937-999-9339
Practice Address - Fax:937-305-9350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAGLEWATCH PRODUCTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service