NPI | 1245422187 |
---|---|
Doing Business As | AVALON VILLA CARE CENTER |
Entity Type | Organization |
Authorized Contact | BYRON JOHNSON President 310-242-8405 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 940000075) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2016-01-04 |