Organization
AVID HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L MICHAEL PARKER (CEO)
(330) 818-2979
Entity
Organization
Contact information
Practice address
1557 VERNON ODOM BLVD STE 104, AKRON, OH 44320-4061
(330) 818-2979
(234) 525-5825
Mailing address
231 SPRINGSIDE DRIVE, STE 209, AKRON, OH 44333-4516
(330) 818-2979
(234) 525-5825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057199
—
OH
05
—
0203389
—
OH
05
—
3113115
—
OH
Enumeration date
03/23/2011
Last updated
08/30/2024
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