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Organization

AVALON HEALTH CARE LLC

Active
Other names
Avalon Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER CABALLERO (ADMINISTRATOR)
(770) 253-1475
Entity
Organization

Contact information

Practice address
120 SPRING ST, NEWNAN, GA 30263-2824
(770) 253-1475
(770) 251-7429
Mailing address
120 SPRING ST, NEWNAN, GA 30263-2824
(770) 253-1475
(770) 251-7429

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-038-1788
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000142084A
GA
01
51003063 001
BCBS
Enumeration date
06/22/2006
Last updated
08/19/2024
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