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Organization

ACTIVA HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALHIA YAJAIRA JUAREZ-AGUILAR DNP (OWNER/CEO)
(574) 307-5502
Entity
Organization

Contact information

Practice address
234 WATERFALL DR STE C, ELKHART, IN 46516-3683
(574) 307-5502
(866) 598-4540
Mailing address
234 WATERFALL DR STE C, ELKHART, IN 46516-3683
(574) 307-5502

Taxonomy

Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
02/20/2026
Last updated
02/20/2026
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