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Organization
AVONDALE CARE GROUP OF PENNSYLVANIA, LLC
Active
Organization
AVONDALE CARE GROUP OF PENNSYLVANIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAZAR HUISMAN (NPI MANAGER)
(404) 418-7484
Entity
Organization
Contact information
Practice address
7371 THOMAS BLVD STE 209, PITTSBURGH, PA 15208-2508
(412) 730-2425
Mailing address
400 PERIMETER CENTER TER NE STE 300, ATLANTA, GA 30346-1201
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
07/27/2026
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