Organization
AVALON ASSISTED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWARA RAINFORD (ADMINISTRATOR)
(941) 303-7585
Entity
Organization
Contact information
Practice address
3314 HENDERSON BLVD STE 100P, TAMPA, FL 33609-2999
(941) 303-7585
(813) 864-0162
Mailing address
3314 HENDERSON BLVD STE 100P, TAMPA, FL 33609-2999
(941) 303-7585
(813) 864-0162
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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