| NPI | 1669720082 |
|---|---|
| Doing Business As | AVALON PRIVATE DUTY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | EDGAR JIMENEZ Owner 702-273-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV nv20101513050) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |