Provider Demographics
NPI:1477097830
Name:ACSS, LLC
Entity type:Organization
Organization Name:ACSS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNURR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-341-4880
Mailing Address - Street 1:1728 WENDMERE LN
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-5054
Mailing Address - Country:US
Mailing Address - Phone:260-341-4880
Mailing Address - Fax:260-484-7002
Practice Address - Street 1:1728 WENDMERE LN
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-5054
Practice Address - Country:US
Practice Address - Phone:260-341-4880
Practice Address - Fax:260-484-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty