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NPI Code Detail

MEDICARE: AAA 24 HOUR HOME HEALTH CARE

MEDICARE: AAA 24 HOUR HOME HEALTH CARE
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
1251E00000XHome Health AgencyHCO-171517VA

General Provider Information

NPI Number : 1871043117
Entity Type Code : Organization
Provider Name (Legal Business Name) : AAA 24 HOUR HOME HEALTH CARE
Provider Business Mailing Address
First Line : 166 S ROSEMONT RD STE E
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-4355
Country : US
Telephone Number : 757-717-8681
Fax Number : 757-631-4478
Provider Business Practice Location Address
First Line : 166 S ROSEMONT RD STE E
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-4355
Country : US
Telephone Number : 757-717-8681
Fax Number : 757-631-4478
Authorized Official
Title or Position : ASST ADMINISTRATOR
Name : ALYIAH PETERKIN
Credential :
Telephone Number : 757-717-8681
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/11/2016

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Directions to “AAA 24 HOUR HOME HEALTH CARE ” Practice Location

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