Organization · NPI-2

Avalon Adult Day Care Center

Non-emergency Medical Transport (VAN) · Conroe, TX

NPI number1639924970
StatusActive
Last updated in NPPESOct 23, 2025

Details

NPI
1639924970
Entity type
Organization (NPI-2)
Legal business name
Avalon Adult Day Care Center
Organization subpart
No
Enumeration date
Apr 19, 2024
Certification date
Oct 23, 2025
Last updated
Oct 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
261QA0600X Clinic/Center, Adult Day Care––
347C00000X Private Vehicle––
163W00000X Registered Nurse––

Practice location

17274 Wild Watermelon Way
Conroe, TX 77302-1408

Phone 561-396-7725

Mailing address

4115 Louetta Rd Apt 2106
Spring, TX 77388-4877

Phone 561-396-7725

Authorized official

Angela Gail Young
Owner
5613967725

Is something wrong?

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