# AVISTA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avista Care at Cherry hill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912124801
- **Authorized official:** SAM STERN (CFO)
- **Authorized official phone:** (718) 567-0400

## Contact information

- **Practice address:** 3025 CHAPEL AVE W, CHERRY HILL, NJ 08002-1503
- **Practice address phone:** (718) 567-0400
- **Mailing address:** 14 C 53RD STREET, SUITE 220, BROOKLYN, NY 11232-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/07/2017