Organization
AVANTE AT ROANOKE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN J DICKMANN (PRESIDENT)
(954) 987-7180
Entity
Organization
Contact information
Practice address
324 KING GEORGE AVE SW, ROANOKE, VA 24016-5213
(540) 345-8139
(540) 345-6421
Mailing address
4000 HOLLYWOOD BLVD, SUITE 540 NORTH, HOLLYWOOD, FL 33021-6751
(954) 987-7180
(954) 989-5287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951565
—
VA
05
—
4960734
—
VA
Enumeration date
10/23/2006
Last updated
06/04/2008
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