Provider Demographics
NPI:1467627166
Name:ACCESS COMMUNITY LIVING, INC
Entity Type:Organization
Organization Name:ACCESS COMMUNITY LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:TROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-848-0167
Mailing Address - Street 1:7631 WELLS CT
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6455
Mailing Address - Country:US
Mailing Address - Phone:727-848-0167
Mailing Address - Fax:727-848-7457
Practice Address - Street 1:7631 WELLS CT
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6455
Practice Address - Country:US
Practice Address - Phone:727-848-0167
Practice Address - Fax:727-848-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage