Provider Demographics
NPI:1750039871
Name:ACESS1 HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ACESS1 HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYALOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-740-3601
Mailing Address - Street 1:5500 ATLANTIC SPRINGS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-1856
Mailing Address - Country:US
Mailing Address - Phone:919-803-6820
Mailing Address - Fax:919-803-6820
Practice Address - Street 1:5500 ATLANTIC SPRINGS RD STE 111
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-1856
Practice Address - Country:US
Practice Address - Phone:919-803-6820
Practice Address - Fax:919-803-6820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health