Organization · NPI-2

Avalon Care, LLC

Community/Behavioral Health · Livonia, MI

NPI number1457674046

StatusActive

Last updated in NPPESMar 10, 2010

Details

NPI: 1457674046
Entity type: Organization (NPI-2)
Legal business name: Avalon Care, LLC
Organization subpart: No
Enumeration date: Mar 10, 2010
Last updated: Mar 10, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
347C00000X	Private Vehicle	–	–

Practice location

33014 Five Mile Rd
Suite 102
Livonia, MI 48154-3075

Phone 734-578-3193 · Fax 866-921-7178

Mailing address

33014 Five Mile Rd
Suite 102
Livonia, MI 48154-3075

Phone 734-578-3193 · Fax 866-921-7178

Authorized official

Edgar Buison
Member
7345783193

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.