Provider Demographics
NPI:1881854248
Name:AAA SPECIAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:AAA SPECIAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAWNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-649-6560
Mailing Address - Street 1:9714 KNOB OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3423
Mailing Address - Country:US
Mailing Address - Phone:210-680-6768
Mailing Address - Fax:210-520-0812
Practice Address - Street 1:9714 KNOB OAK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3423
Practice Address - Country:US
Practice Address - Phone:210-680-6768
Practice Address - Fax:210-520-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management