Provider Demographics
NPI:1437354032
Name:AAA SERVICES, INC.
Entity Type:Organization
Organization Name:AAA SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-381-1180
Mailing Address - Street 1:4131 BEGG BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-3103
Mailing Address - Country:US
Mailing Address - Phone:314-381-1180
Mailing Address - Fax:314-381-1180
Practice Address - Street 1:4131 BEGG AVENUE
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MS
Practice Address - Zip Code:63121-3103
Practice Address - Country:US
Practice Address - Phone:314-381-1180
Practice Address - Fax:314-335-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO266223403251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266223403Medicaid