Organization
AVALON HEALTH CARE, LLC
Active
Other names
BETHANY HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY EMILY WHITCOMB (VICE PRESIDENT OPERATIONS)
(615) 255-9670
Entity
Organization
Contact information
Practice address
421 OCALA DR, NASHVILLE, TN 37211-6387
(615) 834-4214
(615) 833-9407
Mailing address
217 BLANTON AVE, NASHVILLE, TN 37210-4703
(615) 255-9670
(615) 255-2234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445159
—
TN
01
—
31565
BLUE CROSS BLUE SHIELD #
TN
05
—
7440405
—
TN
Enumeration date
07/12/2005
Last updated
03/06/2009
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