Provider Demographics
NPI:1558639229
Name:ACCENTUCARE, INC
Entity Type:Organization
Organization Name:ACCENTUCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LUOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-348-6888
Mailing Address - Street 1:2308 SPRINGVALE CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3149
Mailing Address - Country:US
Mailing Address - Phone:218-348-6888
Mailing Address - Fax:
Practice Address - Street 1:2308 SPRINGVALE CT
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-3149
Practice Address - Country:US
Practice Address - Phone:218-348-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN364476251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health