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Organization
AVALON HEALTH CARE, LLC
Active
Organization
AVALON HEALTH CARE, LLC
Active
Other names
BETHANY HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY EMILY WHITCOMB (VICE PRESIDENT OPERATIONS)
(615) 255-9670
Entity
Organization
Contact information
Practice address
421 OCALA DR, NASHVILLE, TN 37211-6387
(615) 834-4214
(615) 833-9407
Mailing address
217 BLANTON AVE, NASHVILLE, TN 37210-4703
(615) 255-9670
(615) 255-2234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445159
—
TN
01
—
31565
BLUE CROSS BLUE SHIELD #
TN
05
—
7440405
—
TN
Enumeration date
07/12/2005
Last updated
03/06/2009
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