| NPI | 1942450879 |
|---|---|
| Doing Business As | AVALON GARDEN |
| Entity Type | Organization |
| Authorized Contact | JOHN BRENCICK President 314-374-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-08-14 |