| NPI | 1285321901 |
|---|---|
| Doing Business As | AVID HEALTHCARE SERVICES LLC. |
| Entity Type | Organization |
| Authorized Contact | OLA OLUKANNI Administrator 410-830-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-28 |