MEDICARE: AVAT&ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1891518593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAT&ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	7428 W PALO VERDE DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4707
Country	:	US
Telephone Number	:	614-772-1914
Fax Number	:

Provider Business Practice Location Address
First Line	:	7428 W PALO VERDE DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-4707
Country	:	US
Telephone Number	:	614-772-1914
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIE KAMARA
Credential	:	LPN
Telephone Number	:	614-772-1914

Provider Enumeration Date	:	11/02/2024
Last Update Date	:	11/02/2024

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