Provider Demographics
NPI:1568125193
Name:AVIDITY INTEGRATED CARE
Entity Type:Organization
Organization Name:AVIDITY INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-455-1858
Mailing Address - Street 1:109 PROFESSIONAL CT STE 102
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-8348
Mailing Address - Country:US
Mailing Address - Phone:919-455-1858
Mailing Address - Fax:
Practice Address - Street 1:109 PROFESSIONAL CT STE 102
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8348
Practice Address - Country:US
Practice Address - Phone:919-455-1858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care