Provider Demographics
NPI:1386171833
Name:ACE CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:ACE CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RUCHELLE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-794-9794
Mailing Address - Street 1:735 PARKLEIGH CT SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7694
Mailing Address - Country:US
Mailing Address - Phone:678-794-9794
Mailing Address - Fax:866-499-5077
Practice Address - Street 1:236 AUBURN AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2605
Practice Address - Country:US
Practice Address - Phone:404-767-9731
Practice Address - Fax:866-499-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management