Organization
AA HOME HEALTH ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSAH LEE ANDERSON (OWNER)
(919) 717-1982
Entity
Organization
Contact information
Practice address
6141 PIEDMONT RIDGE CIR, RALEIGH, NC 27616-4683
(919) 717-1982
Mailing address
6141 PIEDMONT RIDGE CIR, RALEIGH, NC 27616-4683
(919) 717-1982
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85437776
—
NC
Enumeration date
12/30/2020
Last updated
05/18/2021
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