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Organization
AVENIR VENTURES, L.L.C.
Active
Organization
AVENIR VENTURES, L.L.C.
Active
Other names
Amedisys Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F BORNE (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
250 W DOUGLAS AVE, SUITE 101, WICHITA, KS 67202-3110
(866) 998-8370
(855) 709-2273
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(855) 666-8399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077930A
—
KS
01
—
KA2732
MEDICARE PTAN
KS
Enumeration date
07/05/2012
Last updated
10/04/2013
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