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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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