Organization · NPI-2

Avalon Care LLC

Home Health · Southfield, MI

NPI number1407139694

StatusActive

Last updated in NPPESOct 30, 2012

Details

NPI: 1407139694
Entity type: Organization (NPI-2)
Legal business name: Avalon Care LLC
Organization subpart: No
Enumeration date: Sep 23, 2011
Last updated: Oct 30, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251J00000X	Nursing Care	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
385H00000X	Respite Care	–	–

Practice location

29444 Northwestern Hwy
Suite 210
Southfield, MI 48034-1029

Phone 248-230-2268

Mailing address

29444 Northwestern Hwy
Suite 210
Southfield, MI 48034-1029

Phone 248-230-2268

Authorized official

Edgar Buison
Member
2482302268

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