Avalon Healthcare Center

LBN: Lake City Mgt Llc
Avalon Healthcare Center is an health care organization with primary practice located at 1270 Sw Main Blvd , Lake City FL 32025-6684. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lake City Mgt Llc can be contacted via phone (386) 752-7900, or through Herzog, Lavern Patrick via phone (386) 956-6956.

Contact Information

Primary practice address
1270 Sw Main Blvd Lake City FL 32025-6684
Phone: (386) 752-7900
Fax: (386) 752-8556
Website:
Map and Directions
Authorized official contact:
Name: Herzog, Lavern Patrick
Phone: (386) 956-6956

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF15510961 Florida

Profile Details

NPI number 1750365706
LBN Legal business name Lake City Mgt Llc
DBA Doing business as Avalon Healthcare Center
Authorized official Herzog, Lavern Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 8th, 2020 - about 4 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 1750365706 NPPES
Florida MEDICAID 026162900

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