Provider Demographics
NPI:1841602190
Name:AMERICLE ENTERPRISES LLC
Entity Type:Organization
Organization Name:AMERICLE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:PARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-721-0958
Mailing Address - Street 1:2144 PRIEST BRIDGE CT
Mailing Address - Street 2:SUITE 13
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2539
Mailing Address - Country:US
Mailing Address - Phone:410-721-0958
Mailing Address - Fax:410-721-8994
Practice Address - Street 1:2144 PRIEST BRIDGE CT
Practice Address - Street 2:SUITE 13
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2539
Practice Address - Country:US
Practice Address - Phone:410-721-0958
Practice Address - Fax:410-721-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty