Organization
STATE 48 HOME HEALTH OF SIERRA VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AHMED (MANAGER)
(702) 445-1354
Entity
Organization
Contact information
Practice address
400 W FRY BLVD STE 12A, SIERRA VISTA, AZ 85635-1760
(520) 685-3071
Mailing address
400 W FRY BLVD STE 12A, SIERRA VISTA, AZ 85635-1760
(520) 685-3071
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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