# AHAVA HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1720650070
- **Authorized official:** YASALEAH ANDERSON (PRESIDENT)
- **Authorized official phone:** (520) 471-7420

## Contact information

- **Practice address:** 1035 N MCQUEEN RD STE 116, GILBERT, AZ 85233-2335
- **Practice address phone:** (520) 471-7420
- **Mailing address:** 5995 E GRANT RD STE 107, TUCSON, AZ 85712-2327
- **Mailing address phone:** (520) 471-7420
- **Mailing address fax:** (520) 731-1118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 07/15/2021