| NPI | 1528789534 |
|---|---|
| Doing Business As | AVALON PALM |
| Entity Type | Organization |
| Authorized Contact | JASON WINBLAD Licensee 619-757-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |