Organization
AVALON MEDICAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SOWEMIMO (ADMINISTRATOR)
(713) 272-6810
Entity
Organization
Contact information
Practice address
10103 FONDREN RD, HOUSTON, TX 77096-4556
(713) 272-6810
Mailing address
10103 FONDREN RD, HOUSTON, TX 77096-4556
(713) 272-6810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011427
TX
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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