NPI | 1336133370 |
---|---|
Doing Business As | AVALON CARE CENTER - SHADOW MOUNTAIN |
Entity Type | Organization |
Authorized Contact | FAYE LINCOLN VP, Policy/Government Relations 801-325-0153 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2641) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2015-06-12 |