| NPI | 1972016533 |
|---|---|
| Doing Business As | AVINA OF FOND DU LAC |
| Entity Type | Organization |
| Authorized Contact | DAVID MERZEL CFO 847-983-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2025-08-19 |