Provider Demographics
NPI:1346908811
Name:AVERY TRITT HOLDINGS, LLC
Entity type:Organization
Organization Name:AVERY TRITT HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:AINE
Authorized Official - Last Name:BRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-343-6462
Mailing Address - Street 1:6703 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2211
Mailing Address - Country:US
Mailing Address - Phone:727-337-4591
Mailing Address - Fax:727-343-6503
Practice Address - Street 1:6703 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-2211
Practice Address - Country:US
Practice Address - Phone:727-337-4591
Practice Address - Fax:727-343-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health