| NPI | 1538813670 |
|---|---|
| Doing Business As | AVALON CARE CENTER - PORTLAND |
| Doing Business As | AVALON RESIDENTIAL CARE CENTER PORTLAND |
| Entity Type | Organization |
| Authorized Contact | CHARLES KIRTON CEO/Chairman 801-596-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-08-17 |