Provider Demographics
NPI:1487020954
Name:ACCURATE PROFESSIONAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:ACCURATE PROFESSIONAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ETZKORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-685-1194
Mailing Address - Street 1:10 TRAILSIDE RD
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2236
Mailing Address - Country:US
Mailing Address - Phone:508-740-3760
Mailing Address - Fax:
Practice Address - Street 1:1300 E 9TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1501
Practice Address - Country:US
Practice Address - Phone:508-685-1194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health