Organization
AVALON AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADIAM TESFAHUNEY KELETA (CEO/DIRECTOR)
(215) 330-2912
Entity
Organization
Contact information
Practice address
1500 WALNUT ST STE 1900, DOWNINGTOWN, PA 19335
(215) 330-2912
Mailing address
35 NANCY LN, DOWNINGTOWN, PA 19335
(215) 330-2912
(215) 330-2913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26300539
—
PA
Enumeration date
04/09/2019
Last updated
04/09/2019
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