Aviella Health, LLC
Community/Behavioral Health in Bismarck, ND. Organization (NPI-2).
NPI number1467287466
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1467287466
- Entity type
- Organization (NPI-2)
- Legal business name
- Aviella Health, LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 8, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
4740 N 19th St Apt 302Bismarck, ND 58503-5494
Phone 336-847-3562
Mailing address
4740 N 19th St Apt 302Bismarck, ND 58503-5494
Phone 336-847-3562
Authorized official
Alexis Rukundo
Managing Director
3368473562
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