Organization
TRACY L. HARRIS
Active
Organization
TRACY L. HARRIS
Active
Other names
Avalon Hospice & Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY LYNN HARRIS (ADMINISTRATOR/CEO)
(858) 751-0315
Entity
Organization
Contact information
Practice address
3914 MURPHY CANYON RD, SUITE # A226, SAN DIEGO, CA 92123-4491
(858) 751-0315
(858) 560-0435
Mailing address
3914 MURPHY CANYON RD, SUITE # A226, SAN DIEGO, CA 92123-4491
(858) 751-0315
(858) 560-0435
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550000104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01791F
—
CA
Enumeration date
07/10/2006
Last updated
06/17/2008
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