Provider Demographics
NPI:1205571486
Name:ACL SENIOR ADVOCATES AND CARE COORDINATION
Entity type:Organization
Organization Name:ACL SENIOR ADVOCATES AND CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-225-6860
Mailing Address - Street 1:6752 W GULF TO LAKE HWY # 245
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-9348
Mailing Address - Country:US
Mailing Address - Phone:888-225-6860
Mailing Address - Fax:813-569-6651
Practice Address - Street 1:5210 ROLLING DALE COURT
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810
Practice Address - Country:US
Practice Address - Phone:888-225-6860
Practice Address - Fax:813-569-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management