Healthcare Provider Details

I. General information

NPI: 1699308999
Provider Name (Legal Business Name): A & A SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2020
Last Update Date: 02/15/2020
Certification Date: 02/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2449 GOLF RD STE 22
PHILADELPHIA PA
19131-1475
US

IV. Provider business mailing address

2632 TREMONT ST
PHILADELPHIA PA
19152-1337
US

V. Phone/Fax

Practice location:
  • Phone: 267-743-8336
  • Fax:
Mailing address:
  • Phone: 267-743-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DENISE ALEXANDER
Title or Position: OWNER
Credential:
Phone: 267-743-8336