Provider Demographics
NPI:1568299469
Name:PAHUA HEALTH INC
Entity type:Organization
Organization Name:PAHUA HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHUA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, APRN
Authorized Official - Phone:818-317-3013
Mailing Address - Street 1:540 HERITAGE POINTE DR STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-1006
Mailing Address - Country:US
Mailing Address - Phone:615-989-6753
Mailing Address - Fax:
Practice Address - Street 1:540 HERITAGE POINTE DR STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-1006
Practice Address - Country:US
Practice Address - Phone:615-989-6753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based