Provider Demographics
NPI:1639489362
Name:AARON HEALTH SERVICES
Entity Type:Organization
Organization Name:AARON HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:IKHIDERO-ABGEBAKU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-563-4722
Mailing Address - Street 1:1910 MOSSY POINT COURT
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469
Mailing Address - Country:US
Mailing Address - Phone:281-712-1118
Mailing Address - Fax:281-712-1116
Practice Address - Street 1:1910 MOSSY POINT COURT
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469
Practice Address - Country:US
Practice Address - Phone:281-712-1118
Practice Address - Fax:281-712-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647825251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health