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 |
Practice Location Phone | 360-942-2424 |
Practice Location Fax | 360-942-5287 |
Legal Business Name | AVALON CARE CENTER - RAYMOND, LLC |
Other Organization Name | WILLAPA HARBOR HEALTH & REHAB |
Other Organization Name Type | Doing Business As Name |
NPI ? | 1659365922 |
Entity Type | Organization |
Enumeration Date ? | Sep 1, 2005 |
Last Update Date ? | Apr 26, 2016 |
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 |
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 |
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 |
Authorized Official Title/Position | VP, POLICY/GOVERNMENT RELATIONS |
Authorized Official Phone Number | 801-325-0153 |
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