Provider Demographics
NPI:1891518593
Name:AVAT&ASSOCIATES LLC
Entity type:Organization
Organization Name:AVAT&ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-772-1914
Mailing Address - Street 1:7428 W PALO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-4707
Mailing Address - Country:US
Mailing Address - Phone:614-772-1914
Mailing Address - Fax:
Practice Address - Street 1:7428 W PALO VERDE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-4707
Practice Address - Country:US
Practice Address - Phone:614-772-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care