Provider Demographics
NPI:1366617144
Name:ACORN MANAGEMENT SERVICES, INC.
Entity type:Organization
Organization Name:ACORN MANAGEMENT SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MED, EDS
Authorized Official - Phone:478-986-5230
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:JULIETTE
Mailing Address - State:GA
Mailing Address - Zip Code:31046-0212
Mailing Address - Country:US
Mailing Address - Phone:478-986-5230
Mailing Address - Fax:
Practice Address - Street 1:247 WILLIAM AND MARY AVE
Practice Address - Street 2:
Practice Address - City:JULIETTE
Practice Address - State:GA
Practice Address - Zip Code:31046-2507
Practice Address - Country:US
Practice Address - Phone:478-986-5230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN081532251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health