Provider Demographics
NPI:1710425780
Name:ACCOY CONSULTANTS LLC
Entity Type:Organization
Organization Name:ACCOY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBONIFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-341-3318
Mailing Address - Street 1:1021 CAYER DRIVE
Mailing Address - Street 2:206
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:917-341-3318
Mailing Address - Fax:
Practice Address - Street 1:1021 CAYER DR
Practice Address - Street 2:206
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4194
Practice Address - Country:US
Practice Address - Phone:917-341-3318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDW17757790251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health