Home » Utah » 98577 » Avalon Care Center - Raymond, Llc

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.

physician-icon Basic Information

Practice Location 1100 Jackson Ave, Raymond, WA 98577-3308, US
Practice Location Phone360-942-2424
Practice Location Fax360-942-5287
Legal Business NameAVALON CARE CENTER - RAYMOND, LLC
Other Organization NameWILLAPA HARBOR HEALTH & REHAB
Other Organization Name TypeDoing Business As Name
NPI ?1659365922
Entity TypeOrganization
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).

specialty-icon Specialties & Licenses of Avalon Care Center - Raymond, Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility NH 1357Washington

legacy-id-icon Legacy Provider IDs of Avalon Care Center - Raymond, Llc

Provider IdIssuer StateIssuer TypeIssuer
4113577WashingtonMedicaid

official-icon 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/PositionVP, POLICY/GOVERNMENT RELATIONS
Authorized Official Phone Number801-325-0153