Avalon Place

LBN: Avalon Place, Lp
Avalon Place is an health care organization with primary practice located at 4385 Old Sterlington Rd , Monroe LA 71203-2360. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Nursing Facility Supplies is the primary health care specialty. Avalon Place, Lp can be contacted via phone (318) 322-2000, or through Smith, Dawne R via phone (318) 812-2140.

Contact Information

Primary practice address
4385 Old Sterlington Rd Monroe LA 71203-2360
Phone: (318) 322-2000
Fax: (318) 812-2143
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dawne R
Phone: (318) 812-2140

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 435 Louisiana
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1396754750
LBN Legal business name Avalon Place, Lp
DBA Doing business as Avalon Place
Authorized official Smith, Dawne R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396754750 NPPES
Louisiana Other 3965490001 PALMETTO GBA DMERC
Louisiana MEDICAID 1521094 PALMETTO GBA DMERC

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