Provider Demographics
NPI:1669535472
Name:ACCESSIBLE HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:ACCESSIBLE HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA MPA
Authorized Official - Phone:901-596-6151
Mailing Address - Street 1:3919 W CHRISTINE GDNS
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-5814
Mailing Address - Country:US
Mailing Address - Phone:901-596-6151
Mailing Address - Fax:901-360-8800
Practice Address - Street 1:3919 W CHRISTINE GDNS
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-5814
Practice Address - Country:US
Practice Address - Phone:901-596-6151
Practice Address - Fax:901-360-8800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN251E00000XOtherHOME HEALTH AGENCY