Provider Demographics
NPI:1881847366
Name:AVAIL FAMILY CARE HOMES LLC
Entity Type:Organization
Organization Name:AVAIL FAMILY CARE HOMES LLC
Other - Org Name:AVAIL-FLORA FAMILY CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:O'NEAL
Authorized Official - Last Name:ECHOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-699-1880
Mailing Address - Street 1:1008 N GUTHRIE AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-1620
Mailing Address - Country:US
Mailing Address - Phone:919-682-2352
Mailing Address - Fax:
Practice Address - Street 1:1008 N GUTHRIE AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-1620
Practice Address - Country:US
Practice Address - Phone:919-682-2352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL032090310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility