Provider Demographics
NPI:1871043117
Name:AAA 24 HOUR HOME HEALTH CARE
Entity Type:Organization
Organization Name:AAA 24 HOUR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-717-8681
Mailing Address - Street 1:166 S ROSEMONT RD STE E
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4355
Mailing Address - Country:US
Mailing Address - Phone:757-717-8681
Mailing Address - Fax:757-631-4478
Practice Address - Street 1:166 S ROSEMONT RD STE E
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4355
Practice Address - Country:US
Practice Address - Phone:757-717-8681
Practice Address - Fax:757-631-4478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171517251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health