| NPI | 1841921665 |
|---|---|
| Doing Business As | THE AVENUE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | FREDDY WONG Care Coordinator 415-776-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |