Organization
AVACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZVINEI NGOSHI (CEO)
(214) 934-6476
Entity
Organization
Contact information
Practice address
1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
(214) 934-6476
Mailing address
1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
(214) 934-6476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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