Provider Demographics
NPI:1164777322
Name:ACTON ANGELS INC
Entity Type:Organization
Organization Name:ACTON ANGELS INC
Other - Org Name:VISITING REHAB SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-486-0972
Mailing Address - Street 1:9 GOLDSMITH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1925
Mailing Address - Country:US
Mailing Address - Phone:978-486-0972
Mailing Address - Fax:
Practice Address - Street 1:9 GOLDSMITH ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1925
Practice Address - Country:US
Practice Address - Phone:978-486-0972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health