MEDICARE: AAA HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225274921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2120 TURKEY RIDGE RD
Second Line	:
City	:	SOUTH SALEM
State	:	OH
Zip	:	45681-9760
Country	:	US
Telephone Number	:	937-981-0323
Fax Number	:	937-981-0616

Provider Business Practice Location Address
First Line	:	2120 TURKEY RIDGE RD
Second Line	:
City	:	SOUTH SALEM
State	:	OH
Zip	:	45681-9760
Country	:	US
Telephone Number	:	937-981-0323
Fax Number	:	937-981-0616

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SUSAN JANE MAYNARD
Credential	:
Telephone Number	:	937-981-0323

Provider Enumeration Date	:	12/30/2008
Last Update Date	:	06/03/2023

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Directions to “AAA HEALTH CARE LLC ” Practice Location

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