Organization
AVONDALE CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP VIAR (VICE PRESIDENT)
(646) 741-7979
Entity
Organization
Contact information
Practice address
505 8TH AVE, SUITE 200, NEW YORK, NY 10018-6505
(646) 741-7979
(646) 727-4689
Mailing address
505 8TH AVE, SUITE 200, NEW YORK, NY 10018
(646) 741-7979
(646) 727-4689
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1625L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04241618
—
NY
Enumeration date
05/10/2016
Last updated
06/26/2020
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