# AIDS HEALTHCARE FOUNDATION

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

## Provider details

- **NPI number:** 1972759611
- **Authorized official:** DONNA M STIDHAM R.N. (CHIEF OF MANAGED CARE)
- **Authorized official phone:** (323) 860-5025

## Contact information

- **Practice address:** 4300 BAYOU BLVD STE 17D, PENSACOLA, FL 32503-2671
- **Practice address phone:** (850) 472-0962
- **Mailing address:** 6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
- **Mailing address phone:** (323) 860-5200
- **Mailing address fax:** (833) 241-7615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 09/11/2019