Organization
AVA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY VALTIERRA NONE (MEDICAL ASSISTANT/PHLEBOTOMIST)
(928) 502-1411
Entity
Organization
Contact information
Practice address
691 S EL PRADO RD, YUMA, AZ 85364-2555
(928) 502-1411
Mailing address
691 S EL PRADO RD, YUMA, AZ 85364-2555
(928) 502-1411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
08/22/2024
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