Provider Demographics
NPI:1477577724
Name:ACCESSIBLE ENVIRONMENTS
Entity Type:Organization
Organization Name:ACCESSIBLE ENVIRONMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KONKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-351-6585
Mailing Address - Street 1:741 CONTENTMENT RD
Mailing Address - Street 2:
Mailing Address - City:MAKANDA
Mailing Address - State:IL
Mailing Address - Zip Code:62958-2412
Mailing Address - Country:US
Mailing Address - Phone:618-351-6585
Mailing Address - Fax:618-351-6585
Practice Address - Street 1:741 CONTENTMENT RD
Practice Address - Street 2:
Practice Address - City:MAKANDA
Practice Address - State:IL
Practice Address - Zip Code:62958-2412
Practice Address - Country:US
Practice Address - Phone:618-351-6585
Practice Address - Fax:618-351-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies