Organization
AVIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA S CANTRELL (RN ADMINISTRATOR)
(706) 315-7245
Entity
Organization
Contact information
Practice address
2805 BARBARA RD, COLUMBUS, GA 31907-2222
(706) 315-7245
Mailing address
2805 BARBARA RD, COLUMBUS, GA 31907-2222
(706) 315-7245
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
008149
GA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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