| NPI | 1104412865 |
|---|---|
| Doing Business As | AVENEL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CALEB I SOLOMON Vice President 240-535-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-04-12 |