| NPI | 1407277049 |
|---|---|
| Doing Business As | AVALON ADULT HOME CARE |
| Entity Type | Organization |
| Authorized Contact | AURORA URETA Provider/Owner 253-924-0194 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 750761) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |