Healthcare Provider Details

I. General information

NPI: 1437354032
Provider Name (Legal Business Name): AAA SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 BEGG AVENUE
ST. LOUIS MS
63121-3103
US

IV. Provider business mailing address

4131 BEGG BLVD
SAINT LOUIS MO
63121-3103
US

V. Phone/Fax

Practice location:
  • Phone: 314-381-1180
  • Fax: 314-335-7241
Mailing address:
  • Phone: 314-381-1180
  • Fax: 314-381-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number266223403
License Number StateMO

VIII. Authorized Official

Name: MS. ESTELLE CLARK
Title or Position: PRESIDENT
Credential:
Phone: 314-381-1180