Provider Demographics
NPI:1922313378
Name:AAMANN PERSONAL HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:AAMANN PERSONAL HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MINIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-697-9258
Mailing Address - Street 1:P.O. BOX 30644
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87190
Mailing Address - Country:US
Mailing Address - Phone:505-697-9253
Mailing Address - Fax:
Practice Address - Street 1:618 13TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1840
Practice Address - Country:US
Practice Address - Phone:505-697-9253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM508544472OtherDRIVERS LICENSE NUMBER