Provider Demographics
NPI:1295738359
Name:ACCU-BIL MANAGEMENT LLC
Entity type:Organization
Organization Name:ACCU-BIL MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-426-4422
Mailing Address - Street 1:3070 PRESIDENTIAL DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324
Mailing Address - Country:US
Mailing Address - Phone:937-426-4422
Mailing Address - Fax:937-320-6243
Practice Address - Street 1:3070 PRESIDENTIAL DR
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324
Practice Address - Country:US
Practice Address - Phone:937-426-4422
Practice Address - Fax:937-320-6243
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCU-BIL MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-23
Last Update Date:2008-05-20
Deactivation Date:2008-05-05
Deactivation Code:
Reactivation Date:2008-05-20
Provider Licenses
StateLicense IDTaxonomies
OH0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2537295Medicaid
OH2537295Medicaid