Provider Demographics
NPI:1790442945
Name:AAEN HEALTH LLC
Entity Type:Organization
Organization Name:AAEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-437-5943
Mailing Address - Street 1:907 VANDEVER AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4403
Mailing Address - Country:US
Mailing Address - Phone:302-437-5943
Mailing Address - Fax:
Practice Address - Street 1:907 VANDEVER AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4403
Practice Address - Country:US
Practice Address - Phone:302-437-5943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty