Organization
AHAVA CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GRAY (CCO)
(803) 240-5399
Entity
Organization
Contact information
Practice address
7505 IRMO DR, COLUMBIA, SC 29212-8637
(803) 240-5399
(803) 791-1634
Mailing address
7505 IRMO DR, COLUMBIA, SC 29212-8637
(803) 240-5399
(803) 791-1634
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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