Provider Demographics
NPI:1477029700
Name:ACON SERVICES, INC.
Entity Type:Organization
Organization Name:ACON SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:EZEANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-340-2500
Mailing Address - Street 1:6481 ROYAL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2057
Mailing Address - Country:US
Mailing Address - Phone:313-377-2016
Mailing Address - Fax:313-340-2420
Practice Address - Street 1:17126 PREVOST ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3551
Practice Address - Country:US
Practice Address - Phone:313-340-2500
Practice Address - Fax:313-340-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home