AVALON PLACE, LP; NPI #1396754750

Contact Information

AVALON PLACE, LP

4385 OLD STERLINGTON RD
MONROE, LA 71203-2360

Phone: 318-322-2000
Fax: 318-812-2143
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Facility Supplies	332BN1400X	87	All Other Suppliers
Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for AVALON PLACE, LP

NPI Number 1396754750

LBN Legal business name AVALON PLACE, LP

Authorized official DAWNE SMITH - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/05/2006

Last updated 02/14/2014 - About 12 years ago

Identifiers

LA	License #	435
LA	Medicaid	1521094
LA	Other	3965490001	PALMETTO GBA DMERC

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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