NPI | 1891776522 |
---|---|
Doing Business As | AVALON NURSING HOME |
Entity Type | Organization |
Authorized Contact | DAVID STEPHEN KOWALIK Assistant Administrator 401-738-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI N446) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2020-01-21 |