Organization
AVIVA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JOHNSON (OWNER)
(928) 243-6623
Entity
Organization
Contact information
Practice address
91 S MAIN ST STE B, SNOWFLAKE, AZ 85937-5285
(928) 243-3094
Mailing address
91 S MAIN ST STE B, SNOWFLAKE, AZ 85937-5285
(928) 243-3094
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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