# AVONDALE HME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AVONDALE HME, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962932566
- **Legal business name:** AVONDALE HME, INC.
- **Authorized official:** NICHOLAS BURRUSS (PRESIDENT)
- **Authorized official phone:** (888) 543-4039

## Contact information

- **Practice address:** 2020 CAMINO DEL RIO NORTH, SUITE 205, SAN DIEGO, CA 92108
- **Practice address phone:** (888) 543-4039
- **Mailing address:** 2020 CAMINO DEL RIO N STE 205, SAN DIEGO, CA 92108-1542
- **Mailing address phone:** (888) 543-4039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022