NPI | 1639536337 |
---|---|
Doing Business As | AVALON HOME HEALTH |
Entity Type | Organization |
Authorized Contact | JACOB RAYMOND BRYAN Owner, Operator 208-270-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2016-01-26 |
Last Update Date | 2022-07-21 |