Organization
AVONDALE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR ANTHONY WALDEMAR (EXECUTIVE DIRECTOR)
(770) 912-5128
Entity
Organization
Contact information
Practice address
3508 KENSINGTON RD, DECATUR, GA 30032-1328
(404) 294-0203
(404) 294-0208
Mailing address
3508 KENSINGTON RD, DECATUR, GA 30032-1328
(404) 294-0203
(404) 294-0208
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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