Healthcare Provider Details

I. General information

NPI: 1144384751
Provider Name (Legal Business Name): AVOLIO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 05/31/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 N. 4TH ST SUITE 300
JEANNETTE PA
15644-1750
US

IV. Provider business mailing address

621 N. 4TH ST SUITE 300
JEANNETTE PA
15644-1750
US

V. Phone/Fax

Practice location:
  • Phone: 724-523-6488
  • Fax: 724-523-6680
Mailing address:
  • Phone: 724-523-6488
  • Fax: 724-523-6680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN072007L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY JO KRAMER
Title or Position: NURSE OWNER
Credential: LPN
Phone: 724-523-6488