Provider Demographics
NPI:1528657517
Name:AAHEALTH INC
Entity type:Organization
Organization Name:AAHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AA REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:EVANS
Authorized Official - Middle Name:
Authorized Official - Last Name:MADAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:302-690-4067
Mailing Address - Street 1:1 INNOVATION WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5490
Mailing Address - Country:US
Mailing Address - Phone:302-690-4067
Mailing Address - Fax:
Practice Address - Street 1:1 INNOVATION WAY STE 300
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5490
Practice Address - Country:US
Practice Address - Phone:302-690-4067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty