# AIDS HEALTH FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AHF Mobile
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548772593
- **Authorized official:** DONNA STIDHAM (CHIEF, MANAGED CARE)
- **Authorized official phone:** (323) 436-5019

## Contact information

- **Practice address:** 766 LAKELAND DR, JACKSON, MS 39216-4610
- **Practice address phone:** (601) 368-3440
- **Mailing address:** 8390 CHAMPIONS GATE BLVD STE 215, CHAMPIONS GATE, FL 33896-8310
- **Mailing address phone:** (321) 401-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2017
- **Last updated:** 10/31/2017