Organization
AVALON HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLA ANN GRAY RN (QP)
(320) 291-3552
Entity
Organization
Contact information
Practice address
1535 7TH AVE S # 13, SARTELL, MN 56377-4723
(763) 753-8658
Mailing address
1535 7TH AVE S # 13, SARTELL, MN 56377-4723
(763) 753-8658
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R-217455-2
MN
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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