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General NPI Number Information
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NPI Number | 1053859488
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Entity Type | Organization
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Legal Business Name | AA PLUS FAMILY CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/11/2023
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Provider Practice Location Address
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Address Line | 10331 TURKEY POINT DR
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City | CHARLOTTE
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State | NC
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Zip | 28214-1618
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Country | US
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Telephone | 704-249-7436
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Fax |
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Provider Business Mailing Address
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Address Line | 10331 TURKEY POINT DR
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City | CHARLOTTE
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State | NC
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Zip | 28214-1618
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Country | US
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Telephone | 704-249-7436
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MR. KENNETH LEE FRIDAY
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Credential |
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Telephone | 704-249-7439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | HC4840
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HC4840
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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