Provider Demographics
NPI:1467228239
Name:ACL MEDICAL STAFFING & HOME CARE SERVICES
Entity Type:Organization
Organization Name:ACL MEDICAL STAFFING & HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEVEDA
Authorized Official - Middle Name:ARSHEA
Authorized Official - Last Name:STANDIFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-356-4111
Mailing Address - Street 1:5330 DR MARTIN LUTHER KING JR BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-6601
Mailing Address - Country:US
Mailing Address - Phone:765-356-4111
Mailing Address - Fax:765-400-4947
Practice Address - Street 1:5330 DR MARTIN LUTHER KING JR BLVD STE E
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-6601
Practice Address - Country:US
Practice Address - Phone:765-356-4111
Practice Address - Fax:765-400-4947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care