Organization
AVAESEN HEALTHCARE INC
Active
Parent organization
AVAESEN HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVAESEN HEALTHCARE INC
Authorized official
FELICIA DALPHINE BAILEY (CEO)
(443) 203-8681
Entity
Organization
Contact information
Practice address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(301) 639-2936
Mailing address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(443) 203-8681
(800) 571-0474
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888797700
—
MD
Enumeration date
11/29/2023
Last updated
05/01/2024
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