Avalon Care Center - Raymond, Llc
Avalon Care Center - Raymond, Llc is a health care provider in Salt Lake City, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information
| Practice Location | 1100 Jackson Ave, Raymond, WA 98577-3308, US |
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| Practice Location Phone | 360-942-2424 |
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| Practice Location Fax | 360-942-5287 |
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| Legal Business Name | AVALON CARE CENTER - RAYMOND, LLC |
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| Other Organization Name | WILLAPA HARBOR HEALTH & REHAB |
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| Other Organization Name Type | Doing Business As Name |
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| NPI ? | 1659365922 |
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| Entity Type | Organization |
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| Enumeration Date ? | Sep 1, 2005 |
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| Last Update Date ? | Apr 26, 2016 |
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Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). |
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Specialties & Licenses of Avalon Care Center - Raymond, Llc
| Specialty | Provider Type | Specialization | License | License State |
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| Skilled Nursing Facility | Nursing & Custodial Care Facilities | | NH 1357 | Washington |
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Legacy Provider IDs of Avalon Care Center - Raymond, Llc
| Provider Id | Issuer State | Issuer Type | Issuer |
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| 4113577 | Washington | Medicaid | |
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Authorized Official of Avalon Care Center - Raymond, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Avalon Care Center - Raymond, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Faye Lincoln |
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| Authorized Official Title/Position | VP, POLICY/GOVERNMENT RELATIONS |
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| Authorized Official Phone Number | 801-325-0153 |
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