Organization
AVERY HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCMULLEN (AUTHORIZED REPRESENTATIVE)
(903) 466-1600
Entity
Organization
Contact information
Practice address
725 W TOWN AND COUNTRY RD STE 420, ORANGE, CA 92868-4718
(714) 798-2537
(714) 902-6996
Mailing address
725 W TOWN AND COUNTRY RD STE 420, ORANGE, CA 92868-4718
(714) 798-2537
(714) 902-6996
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/22/2010
Last updated
02/28/2024
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