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Organization

AA&G HOME HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELENE MCCOY VINSON (OPERTATIONS MANAGER)
(757) 397-0008
Entity
Organization

Contact information

Practice address
3215 ACADEMY AVE, PORTSMOUTH, VA 23703-3202
(757) 397-0008
(757) 397-1003
Mailing address
4410 W NORFOLK RD STE A, PORTSMOUTH, VA 23703-2360
(757) 397-0008
(757) 397-1003

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCO-181604
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0256415669
VA
Enumeration date
12/06/2017
Last updated
10/22/2019
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