Provider Demographics
NPI:1598285892
Name:AA PERSONAL CARE, LLC
Entity Type:Organization
Organization Name:AA PERSONAL CARE, LLC
Other - Org Name:AA PERSONAL CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-361-6117
Mailing Address - Street 1:547 MOYE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5318
Mailing Address - Country:US
Mailing Address - Phone:770-361-6117
Mailing Address - Fax:
Practice Address - Street 1:547 MOYE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907
Practice Address - Country:US
Practice Address - Phone:770-361-6117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care