Organization
AVALON HOME HEALTH INC.
Active
Other names
National Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RUDAKOV (PRESIDENT)
(415) 812-2955
Entity
Organization
Contact information
Practice address
303 TWIN DOLPHIN DR, SUITE 600, REDWOOD CITY, CA 94065-1497
(415) 812-2955
Mailing address
303 TWIN DOLPHIN DR, SUITE 600, REDWOOD CITY, CA 94065-1497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001400
CA
Other
Enumeration date
05/07/2015
Last updated
10/21/2015
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