Provider Demographics
NPI:1851059976
Name:AMERICAN VOLUNTEERS HOMES, LLC
Entity Type:Organization
Organization Name:AMERICAN VOLUNTEERS HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-210-8532
Mailing Address - Street 1:5202 QUAIL AVE N
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3213
Mailing Address - Country:US
Mailing Address - Phone:763-710-9696
Mailing Address - Fax:763-201-5822
Practice Address - Street 1:5202 QUAIL AVE N
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-3213
Practice Address - Country:US
Practice Address - Phone:763-710-9696
Practice Address - Fax:763-201-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility