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Contact Information

AVALON AT HOME, LLC
1500 WALNUT ST STE 1900
DOWNINGTOWN, PA19335
 Phone: 215-330-2912
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AVALON AT HOME, LLC

NPI # 1679036487
LBN Legal business name AVALON AT HOME, LLC
Authorized official ADIAM KELETA - (CEO/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2019
Last updated 04/09/2019 - About 7 years ago
Identifiers
PA Medicaid 26300539
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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