Organization
AVALON CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR BUISON (MEMBER)
(734) 578-3193
Entity
Organization
Contact information
Practice address
33014 FIVE MILE RD, SUITE 102, LIVONIA, MI 48154-3075
(734) 578-3193
(866) 921-7178
Mailing address
33014 FIVE MILE RD, SUITE 102, LIVONIA, MI 48154-3075
(734) 578-3193
(866) 921-7178
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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