Provider Demographics
NPI:1205481033
Name:AVION PALLIATIVE & HOSPICE CARE, LLC
Entity type:Organization
Organization Name:AVION PALLIATIVE & HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-673-1470
Mailing Address - Street 1:333 SANDY SPRINGS CIR STE 120
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3833
Mailing Address - Country:US
Mailing Address - Phone:770-852-8757
Mailing Address - Fax:
Practice Address - Street 1:333 SANDY SPRINGS CIR STE 120
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3833
Practice Address - Country:US
Practice Address - Phone:954-673-1470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based