# AVALON HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BETHANY HEALTH CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912905183
- **Authorized official:** MARY EMILY WHITCOMB (VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (615) 255-9670

## Contact information

- **Practice address:** 421 OCALA DR, NASHVILLE, TN 37211-6387
- **Practice address phone:** (615) 834-4214
- **Practice address fax:** (615) 833-9407
- **Mailing address:** 217 BLANTON AVE, NASHVILLE, TN 37210-4703
- **Mailing address phone:** (615) 255-9670
- **Mailing address fax:** (615) 255-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000044 | TN | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 03/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445159 | — | TN |
| 01 | — | 31565 | BLUE CROSS BLUE SHIELD \# | TN |
| 05 | — | 7440405 | — | TN |