# AHADI CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114597804
- **Authorized official:** MR. DAVID WANJE (CEO)
- **Authorized official phone:** (480) 659-7003

## Contact information

- **Practice address:** 3459 E VAUGHN AVE, GILBERT, AZ 85234-4247
- **Practice address phone:** (480) 659-7003
- **Practice address fax:** (480) 546-4317
- **Mailing address:** 3459 E VAUGHN AVE, GILBERT, AZ 85234-4247
- **Mailing address phone:** (480) 659-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2021
- **Last updated:** 01/12/2022
