Provider Demographics
NPI:1427839711
Name:AAA CONTINUING IN-HOME CARE
Entity type:Organization
Organization Name:AAA CONTINUING IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:803-528-9329
Mailing Address - Street 1:401 MCNULTY ST UNIT 1034
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-5040
Mailing Address - Country:US
Mailing Address - Phone:803-528-9329
Mailing Address - Fax:
Practice Address - Street 1:401 MCNULTY ST UNIT 1034
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-5040
Practice Address - Country:US
Practice Address - Phone:803-528-9329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care