NPI | 1972581882 |
---|---|
Doing Business As | AVALON PLACE-WHARTON |
Entity Type | Organization |
Authorized Contact | DAVID T. OBERGFELL President, Board Of Directors 214-777-0282 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112200) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2020-08-22 |