Avalonia Group Homes, Inc.

LBN: Avalonia Group Homes, Inc.
Avalonia Group Homes, Inc. is an health care organization with primary practice located at 213 Hart Cut Rd , Marietta SC 29661-9687. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Avalonia Group Homes, Inc. can be contacted via phone (864) 836-7220, or through Short, John M. via phone (864) 836-7220.

Contact Information

Primary practice address
213 Hart Cut Rd Marietta SC 29661-9687
Phone: (864) 836-7220
Fax: (864) 294-1774
Website:
Map and Directions
Authorized official contact:
Name: Short, John M.
Phone: (864) 836-7220

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X SR-0008124001-CC1 South Carolina

Profile Details

NPI number 1073699617
LBN Legal business name Avalonia Group Homes, Inc.
DBA Doing business as
Authorized official Short, John M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 12th, 2009 - about 16 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 1073699617 NPPES
South Carolina MEDICAID 993MXH

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