# STATE 48 HOME HEALTH OF YUMA LLC

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

## Provider details

- **NPI number:** 1871398172
- **Authorized official:** MOHAMMED AHMED (MANAGER)
- **Authorized official phone:** (928) 257-3004

## Contact information

- **Practice address:** 360 W 20TH ST STE B, YUMA, AZ 85364-5637
- **Practice address phone:** (928) 257-3004
- **Practice address fax:** (928) 361-7866
- **Mailing address:** 360 W 20TH ST STE B, YUMA, AZ 85364-5637
- **Mailing address phone:** (928) 257-3004
- **Mailing address fax:** (928) 361-7866

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025