| Avalonia Group Homes, Inc. | |
|
404 Hampton Ave Pickens SC 29671-2608 | |
| (864) 836-7220 | |
| Not Available |
| Full Name | Avalonia Group Homes, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 404 Hampton Ave, Pickens, South Carolina |
| Authorized Official Name and Position | John M Short (CEO) |
| Authorized Official Contact | 8643135274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalonia Group Homes, Inc. Po Box 968 Travelers Rest SC 29690-0968 Ph: () - | Avalonia Group Homes, Inc. 404 Hampton Ave Pickens SC 29671-2608 Ph: (864) 836-7220 |
| NPI Number | 1558881524 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 06/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558881524 | NPI | - | NPPES |
| 1083852511 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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