Provider Demographics
NPI:1023496585
Name:ACCOLENT CONSULTANTS
Entity type:Organization
Organization Name:ACCOLENT CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTRA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:919-330-6018
Mailing Address - Street 1:104 JORDAN ELIZABETH CT
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28333-6196
Mailing Address - Country:US
Mailing Address - Phone:919-330-6018
Mailing Address - Fax:
Practice Address - Street 1:104 JORDAN ELIZABETH CT
Practice Address - Street 2:
Practice Address - City:DUDLEY
Practice Address - State:NC
Practice Address - Zip Code:28333-6196
Practice Address - Country:US
Practice Address - Phone:919-330-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77301251J00000X
253Z00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care