Organization
AHAVA IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GRAY (CORPORATE COMPLIANCE OFFICER)
(803) 794-3269
Entity
Organization
Contact information
Practice address
7505 IRMO DR, COLUMBIA, SC 29212-8637
(803) 794-3269
(803) 791-1634
Mailing address
7505 IRMO DR, COLUMBIA, SC 29212-8637
(803) 794-3269
(803) 791-1634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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