| NPI | 1487739264 |
|---|---|
| Former Legal Business Name | AVALON MANOR HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW NEISWANGER Administrator Owner 301-864-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-10-23 |