Provider Demographics
NPI:1831759075
Name:AAA MODIFICATION SERVICES INC
Entity type:Organization
Organization Name:AAA MODIFICATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEBURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-331-5415
Mailing Address - Street 1:5 NEAL DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 NEAL DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1721
Practice Address - Country:US
Practice Address - Phone:917-331-5415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333300000XSuppliersEmergency Response System Companies
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty