Organization
AIDS HEALTHCARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M STIDHAM R.N. (CHIEF OF MANAGED CARE)
(323) 860-5025
Entity
Organization
Contact information
Practice address
4300 BAYOU BLVD STE 17D, PENSACOLA, FL 32503-2671
(850) 472-0962
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(833) 241-7615
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
09/11/2019
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