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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 163W00000X | Registered Nurse | – | – |
Practice location
17274 Wild Watermelon WayConroe, TX 77302-1408
Phone 561-396-7725
Mailing address
4115 Louetta Rd Apt 2106Spring, TX 77388-4877
Phone 561-396-7725
Authorized official
Angela Gail Young
Owner
5613967725
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