Provider Demographics
NPI:1710757232
Name:AA QUALITY HOME CARE
Entity Type:Organization
Organization Name:AA QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:TETSOSHVILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-287-5626
Mailing Address - Street 1:540 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7148
Mailing Address - Country:US
Mailing Address - Phone:908-287-5626
Mailing Address - Fax:908-287-5627
Practice Address - Street 1:540 NORTH AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7148
Practice Address - Country:US
Practice Address - Phone:908-287-5626
Practice Address - Fax:908-287-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health