Organization
AVALON HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEANN SLAGOR (FAMILY NURSE PRACTICTIONER)
(810) 733-7250
Entity
Organization
Contact information
Practice address
2360 STONEBRIDGE DR, FLINT, MI 48532-5406
(810) 733-7250
(810) 733-8424
Mailing address
2360 STONEBRIDGE DR, FLINT, MI 48532-5406
(810) 733-7250
(810) 733-8424
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
259103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4708865
—
MI
01
—
5008704430
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/26/2005
Last updated
08/22/2020
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