Organization
AVERY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE B OWEN (PRESIDENT)
(908) 255-3076
Entity
Organization
Contact information
Practice address
230 CORAL CT, PISMO BEACH, CA 93449-2803
(908) 255-3076
Mailing address
230 CORAL CT, PISMO BEACH, CA 93449-2803
(908) 255-3076
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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