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Avalon Assisted Services

Day Training, Developmentally Disabled Services in Tampa, FL. Organization (NPI-2).

NPI number1902688674
StatusActive
Last updated in NPPESOct 17, 2023

Details

NPI
1902688674
Entity type
Organization (NPI-2)
Legal business name
Avalon Assisted Services
Organization subpart
No
Enumeration date
Oct 17, 2023
Certification date
Oct 17, 2023
Last updated
Oct 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
251E00000X Home Health––

Practice location

3314 Henderson Blvd Ste 100p
Tampa, FL 33609-2999

Phone 941-303-7585 · Fax 813-864-0162

Mailing address

3314 Henderson Blvd Ste 100p
Tampa, FL 33609-2999

Phone 941-303-7585 · Fax 813-864-0162

Authorized official

Jawara Rainford
Administrator
9413037585

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