Provider Demographics
NPI:1710573183
Name:ACN SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:ACN SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-969-1351
Mailing Address - Street 1:26 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2226
Mailing Address - Country:US
Mailing Address - Phone:978-969-1351
Mailing Address - Fax:
Practice Address - Street 1:26 WEST ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2226
Practice Address - Country:US
Practice Address - Phone:978-969-1351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care