Provider Demographics
NPI:1922887389
Name:AVS SUPPORTS LLC
Entity Type:Organization
Organization Name:AVS SUPPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYMIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAGGER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:724-506-2718
Mailing Address - Street 1:137 SPRING GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1805
Mailing Address - Country:US
Mailing Address - Phone:724-506-2718
Mailing Address - Fax:
Practice Address - Street 1:137 SPRING GROVE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-1805
Practice Address - Country:US
Practice Address - Phone:724-506-2718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health