MEDICARE: ISIDORAS HEALTH CARE, INC DBA AVALON HOME HEALTH

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750499539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISIDORAS HEALTH CARE, INC DBA AVALON HOME HEALTH

Provider Business Mailing Address
First Line	:	12000 RICHMOND AVE
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77082-2428
Country	:	US
Telephone Number	:	281-427-8317
Fax Number	:	281-596-0016

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77082-2428
Country	:	US
Telephone Number	:	281-427-8317
Fax Number	:	281-596-0016

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW G POSEY
Credential	:
Telephone Number	:	817-551-0355

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	03/16/2010

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