Organization
ACR HEALTHCARE SERVICES, LLC
Active
Other names
ACR Medical Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE KYLE LEISTICO (COO)
(651) 294-4707
Entity
Organization
Contact information
Practice address
2437 RICE ST, ROSEVILLE, MN 55113-3706
(651) 484-5897
(651) 203-0693
Mailing address
2437 RICE ST, ROSEVILLE, MN 55113-3706
(651) 484-5897
(651) 203-0693
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203638000
—
MN
Enumeration date
10/18/2006
Last updated
04/19/2013
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