AVANTE GARDE HEALTH CENTERS, LLC; NPI #1407125016

Contact Information

AVANTE GARDE HEALTH CENTERS, LLC

72 JOE T PETTEY DR
SUITE B
RUSSELL SPRINGS, KY 42642

Phone: 270-866-4357
Fax: 270-858-4957
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for AVANTE GARDE HEALTH CENTERS, LLC

NPI Number	`1407125016`
LBN Legal business name	AVANTE GARDE HEALTH CENTERS, LLC
Authorized official	ANGELA CUNDIFF-ROY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/28/2011
Last updated	12/28/2011 - About 14 years ago
Identifiers	n/a

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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