Provider Demographics
NPI:1740042894
Name:ACHLA CARE SERVICES, INC.
Entity type:Organization
Organization Name:ACHLA CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SEJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-289-8773
Mailing Address - Street 1:10242 NW 47TH ST STE 42
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7903
Mailing Address - Country:US
Mailing Address - Phone:954-289-8773
Mailing Address - Fax:954-206-2826
Practice Address - Street 1:10242 NW 47TH ST STE 42
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7903
Practice Address - Country:US
Practice Address - Phone:954-289-8773
Practice Address - Fax:954-206-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health