Provider Demographics
NPI:1417591389
Name:AVALON STAFFING SERVICES, LLC
Entity Type:Organization
Organization Name:AVALON STAFFING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:ROXANA
Authorized Official - Last Name:ECHEVERRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-238-6492
Mailing Address - Street 1:200 LITTLE FALLS ST STE 410-A
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3393
Mailing Address - Country:US
Mailing Address - Phone:703-269-2238
Mailing Address - Fax:703-269-2265
Practice Address - Street 1:200 LITTLE FALLS ST STE 410-A
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3393
Practice Address - Country:US
Practice Address - Phone:703-269-2238
Practice Address - Fax:703-269-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health