Organization
AVIS FOSTER CARE HOME,INC.
Active
Organization
AVIS FOSTER CARE HOME,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVIS LYNETTE BURROWS OWNER (PRESIDENT)
(386) 586-3030
Entity
Organization
Contact information
Practice address
4 SLUMBER MEADOW TRL, PALM COAST, FL 32164-5322
(386) 586-3030
(386) 586-7524
Mailing address
4 SLUMBER MEADOW TRL, PALM COAST, FL 32164-5322
(386) 586-3030
(386) 586-7524
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693285198
—
FL
Enumeration date
02/21/2008
Last updated
02/21/2008
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