| NPI | 1699261362 |
|---|---|
| Doing Business As | AVALON PRIVATE DUTY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | EDGAR JIMENEZ Administrator/Owner 702-273-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |