Individual provider · NPI-1

Candy Diaz Avalo

Home Health · Warwick, RI

NPI number1821983404
StatusActive
Last updated in NPPESJun 12, 2025

Details

NPI
1821983404
Entity type
Individual (NPI-1)
Name
Candy Diaz Avalo
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 12, 2025
Certification date
Jun 12, 2025
Last updated
Jun 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–RIYes

Practice location

627 Warwick Ave
Warwick, RI 02888-2678

Phone 401-226-4846

Mailing address

289 Washington Ave
Providence, RI 02905-2839

Phone 401-226-4846

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