Provider Demographics
NPI:1659919587
Name:AA CARE INC
Entity Type:Organization
Organization Name:AA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SONG
Authorized Official - Middle Name:BUN
Authorized Official - Last Name:SEAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-387-9399
Mailing Address - Street 1:1716 DAVENPORT CIR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-1706
Mailing Address - Country:US
Mailing Address - Phone:651-387-9399
Mailing Address - Fax:651-600-3111
Practice Address - Street 1:1716 DAVENPORT CIR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1706
Practice Address - Country:US
Practice Address - Phone:651-387-9399
Practice Address - Fax:651-600-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health