Avad Care LLC
Nurse Practitioner, Psych/Mental Health in Boardman, OH. Organization (NPI-2).
NPI number1962106930
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1962106930
- Entity type
- Organization (NPI-2)
- Legal business name
- Avad Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
6426 Market StBoardman, OH 44512-3434
Phone 330-687-4750
Mailing address
302 Retort DrEdinburg, PA 16116-2020
Phone 330-687-4750
Authorized official
Andrew Dawson
Owner
3306874750
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