- Enrollment id
- O20040917000105
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679668982
- Multiple npi flag
- N
- Ccn
- 679451
- Associate id
- 2264400399
- Organization name
- AC HEALTH SERVICES INC
- Doing business as name
- A C HEALTH SERVICES INC.
- Incorporation date
- 2003-07-22
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10103 FONDREN RD
- Address line 2
- STE 380
- City
- HOUSTON
- State
- TX
- Zip code
- 770964661