Organization
AVENTAS HOME HEALTH, LLC
Active
Other names
AVENTAS HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE ELIZABETH RYAN (ADMINISTRATOR)
(520) 207-4111
Entity
Organization
Contact information
Practice address
2193 N CAMINO PRINCIPAL, SUITE # 161, TUCSON, AZ 85715-5336
(520) 207-4111
(520) 207-5577
Mailing address
2193 N CAMINO PRINCIPAL, SUITE # 161, TUCSON, AZ 85715-5336
(520) 207-4111
(520) 207-5577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA5818
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856385
—
AZ
Enumeration date
05/14/2013
Last updated
06/23/2014
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