Provider Demographics
NPI:1205400843
Name:AVIER CARE LLC
Entity Type:Organization
Organization Name:AVIER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-939-1714
Mailing Address - Street 1:699 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1302
Mailing Address - Country:US
Mailing Address - Phone:856-602-0677
Mailing Address - Fax:
Practice Address - Street 1:699 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1302
Practice Address - Country:US
Practice Address - Phone:856-602-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty