NPI | 1922007277 |
---|---|
Doing Business As | AVALON GARDEN |
Entity Type | Organization |
Authorized Contact | MICHELLE S. HASSAN Administrator 314-752-2022 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 030570) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2020-08-22 |