Organization
AVATAR CA
Active
Parent organization
1961
Organization subpart
Yes
Provider details
NPI number
Legal business name
1961
Authorized official
MICHELLE CONLEY (OWNER)
(813) 389-3013
Entity
Organization
Contact information
Practice address
9505 WELLSTONE DR, LAND O LAKES, FL 34638-2579
(813) 389-3013
Mailing address
9505 WELLSTONE DR, LAND O LAKES, FL 34638-2579
(813) 389-3013
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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