| Aviella Health, Llc | |
|
4740 N 19th St Apt 302 Bismarck ND 58503-5494 | |
| (336) 847-3562 | |
| Not Available |
| Full Name | Aviella Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4740 N 19th St Apt 302, Bismarck, North Dakota |
| Authorized Official Name and Position | Alexis Rukundo (MANAGING DIRECTOR) |
| Authorized Official Contact | 3368473562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviella Health, Llc 4740 N 19th St Apt 302 Bismarck ND 58503-5494 Ph: (336) 847-3562 | Aviella Health, Llc 4740 N 19th St Apt 302 Bismarck ND 58503-5494 Ph: (336) 847-3562 |
| NPI Number | 1467287466 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467287466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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