Provider Demographics
NPI:1225442700
Name:AC & E, INC
Entity Type:Organization
Organization Name:AC & E, INC
Other - Org Name:MGH ADULT MEDICAL DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EUN
Authorized Official - Middle Name:YEON
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, MA, MS
Authorized Official - Phone:410-850-4059
Mailing Address - Street 1:7483 CANDLEWOOD RD STE A
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3142
Mailing Address - Country:US
Mailing Address - Phone:410-850-4059
Mailing Address - Fax:410-850-4106
Practice Address - Street 1:7483 CANDLEWOOD RD
Practice Address - Street 2:SUITE A
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3142
Practice Address - Country:US
Practice Address - Phone:410-850-4059
Practice Address - Fax:410-850-4106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02-008-A261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care