Provider Demographics
NPI:1497903942
Name:ACHE GROUP SERVICES, INC
Entity Type:Organization
Organization Name:ACHE GROUP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONILA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-843-3744
Mailing Address - Street 1:165 W WIEUCA RD NE
Mailing Address - Street 2:SUITE # 216
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3252
Mailing Address - Country:US
Mailing Address - Phone:404-843-3744
Mailing Address - Fax:
Practice Address - Street 1:165 W WIEUCA RD NE
Practice Address - Street 2:SUITE # 216
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3252
Practice Address - Country:US
Practice Address - Phone:404-843-3744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center