Provider Demographics
NPI:1417671009
Name:A & I HEALTH SERVICES LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:A & I HEALTH SERVICES LIMITED LIABILITY COMPANY
Other - Org Name:PEACHTREE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AZUKA
Authorized Official - Middle Name:CHIZOBA
Authorized Official - Last Name:ILOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-447-2665
Mailing Address - Street 1:3050 STATE STREET
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269
Mailing Address - Country:US
Mailing Address - Phone:770-450-0060
Mailing Address - Fax:770-450-0060
Practice Address - Street 1:3050 STATE STREET
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269
Practice Address - Country:US
Practice Address - Phone:770-450-0060
Practice Address - Fax:770-450-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies