Provider Demographics
NPI:1396901583
Name:ACORN PERSONNEL, INC.
Entity type:Organization
Organization Name:ACORN PERSONNEL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:PACAUD
Authorized Official - Last Name:BREZAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-940-0606
Mailing Address - Street 1:699 ACORN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-4235
Mailing Address - Country:US
Mailing Address - Phone:631-940-0606
Mailing Address - Fax:631-940-3109
Practice Address - Street 1:699 ACORN ST
Practice Address - Street 2:SUITE B
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-4235
Practice Address - Country:US
Practice Address - Phone:631-940-0606
Practice Address - Fax:631-940-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYFS5763694OtherBONDED AND INSURED