NPI | 1790531010 |
---|---|
Doing Business As | AVALON CARE CENTER - SCAPPOOSE |
Entity Type | Organization |
Authorized Contact | HYRUM KIRTON Senior Vice President 801-596-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2024-04-26 |
Last Update Date | 2024-04-26 |