Provider Demographics
NPI:1568866499
Name:ACCESS LIVING SERVICES, INC.
Entity Type:Organization
Organization Name:ACCESS LIVING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWANKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-705-9515
Mailing Address - Street 1:1708 W AVENUE H STE A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-5228
Mailing Address - Country:US
Mailing Address - Phone:512-970-9313
Mailing Address - Fax:512-255-4054
Practice Address - Street 1:1708 W AVENUE H STE A
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5228
Practice Address - Country:US
Practice Address - Phone:512-970-9313
Practice Address - Fax:512-255-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care