# LA AHAVA HOME HEALTH INC

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

## Provider details

- **NPI number:** 1760111231
- **Authorized official:** BELLE C NISHIMURA (CEO)
- **Authorized official phone:** (626) 342-6921

## Contact information

- **Practice address:** 1050 LAKES DRIVE STE 225, UNIT 218, WEST COVINA, CA 91790
- **Practice address phone:** (626) 342-6921
- **Practice address fax:** (888) 800-1432
- **Mailing address:** PO BOX 3004, COVINA, CA 91722-9004
- **Mailing address phone:** (574) 786-6156
- **Mailing address fax:** (888) 800-1432

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2022
- **Last updated:** 06/03/2024