Healthcare Provider Details

I. General information

NPI: 1700371168
Provider Name (Legal Business Name): AVERY PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7323 BOULDER VIEW LANE
RICHMOND VA
23225-4953
US

IV. Provider business mailing address

1805 OLD ALABAMA ROAD SUITE 200
ROSWELL GA
30076-2230
US

V. Phone/Fax

Practice location:
  • Phone: 804-745-0054
  • Fax: 678-367-4603
Mailing address:
  • Phone: 770-642-6100
  • Fax: 678-367-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT J MOORE
Title or Position: CEO
Credential:
Phone: 770-639-5809