Provider Demographics
NPI:1003139296
Name:AARONS LOVING ARMS PROVIDER SERVICE
Entity Type:Organization
Organization Name:AARONS LOVING ARMS PROVIDER SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANELL
Authorized Official - Middle Name:T
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-724-8235
Mailing Address - Street 1:4035 NACO PERRIN BLVD STE 200D
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2530
Mailing Address - Country:US
Mailing Address - Phone:210-957-3065
Mailing Address - Fax:210-599-9714
Practice Address - Street 1:4035 NACO PERRIN BLVD STE 200D
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2530
Practice Address - Country:US
Practice Address - Phone:210-957-3065
Practice Address - Fax:210-599-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health