Provider Demographics
NPI:1871636381
Name:ACS ENTERPRISES LLC
Entity Type:Organization
Organization Name:ACS ENTERPRISES LLC
Other - Org Name:WOMEN'S HEALTH BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERMANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-746-5146
Mailing Address - Street 1:1020 W EL NORTE PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-3341
Mailing Address - Country:US
Mailing Address - Phone:760-746-5146
Mailing Address - Fax:760-746-4941
Practice Address - Street 1:1020 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-3341
Practice Address - Country:US
Practice Address - Phone:760-746-5146
Practice Address - Fax:760-746-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1303070001Medicare ID - Type Unspecified