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Organization

AVALON HEALTH CARE, LLC.

Active
Other names
TREVECCA 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
329 MURFREESBORO RD, NASHVILLE, TN 37210-2834
(615) 244-6900
(615) 255-1893
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
0000000066
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445112
TN
01
1000650
BLUE CROSS BLUE SHIELD #
TN
05
7440259
TN
Enumeration date
07/12/2005
Last updated
05/19/2008
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