Provider Demographics
NPI:1649524901
Name:AAA FAMILY HOMES LLC
Entity type:Organization
Organization Name:AAA FAMILY HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GRASER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-780-7286
Mailing Address - Street 1:E9434 COUNTY ROAD SS
Mailing Address - Street 2:
Mailing Address - City:VIROQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54665-7154
Mailing Address - Country:US
Mailing Address - Phone:608-780-7286
Mailing Address - Fax:608-629-6942
Practice Address - Street 1:E9434 COUNTY ROAD SS
Practice Address - Street 2:
Practice Address - City:VIROQUA
Practice Address - State:WI
Practice Address - Zip Code:54665-7154
Practice Address - Country:US
Practice Address - Phone:608-780-7286
Practice Address - Fax:608-629-6942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health