Provider Demographics
NPI:1467233890
Name:AVIELLA HEALTH, LLC
Entity Type:Organization
Organization Name:AVIELLA HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RUKUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-847-3562
Mailing Address - Street 1:205 E ARBOR AVE APT 103G
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5703
Mailing Address - Country:US
Mailing Address - Phone:336-847-3562
Mailing Address - Fax:
Practice Address - Street 1:205 E ARBOR AVE APT 103G
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5703
Practice Address - Country:US
Practice Address - Phone:336-847-3562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care