Provider Demographics
NPI:1437890605
Name:AYA HOME CARE
Entity Type:Organization
Organization Name:AYA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAA-SERWA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LISW-CP
Authorized Official - Phone:803-370-1078
Mailing Address - Street 1:136-4 FORUM DRIVE
Mailing Address - Street 2:#1127
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229
Mailing Address - Country:US
Mailing Address - Phone:803-805-7805
Mailing Address - Fax:803-302-8147
Practice Address - Street 1:136-4 FORUM DRIVE
Practice Address - Street 2:#1127
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229
Practice Address - Country:US
Practice Address - Phone:803-805-7805
Practice Address - Fax:803-302-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health