Provider Demographics
NPI:1407184658
Name:1ACCESSABILITY HOME MODIFICATIONS, LLC
Entity Type:Organization
Organization Name:1ACCESSABILITY HOME MODIFICATIONS, LLC
Other - Org Name:ACCESSABILITY HOME MODIFICATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZETTE
Authorized Official - Middle Name:EMILIA
Authorized Official - Last Name:MORENO-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CAPS
Authorized Official - Phone:210-414-5600
Mailing Address - Street 1:915 MOUNT KISCO DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2229
Mailing Address - Country:US
Mailing Address - Phone:210-414-5600
Mailing Address - Fax:210-340-2334
Practice Address - Street 1:915 MOUNT KISCO DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2229
Practice Address - Country:US
Practice Address - Phone:210-414-5600
Practice Address - Fax:210-340-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHR1-919559171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty