Organization · NPI-2

Avalon Nursing Home INC

Skilled Nursing Facility · Warwick, RI

NPI number1891776522
StatusActive
Last updated in NPPESJan 21, 2020

Details

NPI
1891776522
Entity type
Organization (NPI-2)
Legal business name
Avalon Nursing Home INC
Organization subpart
No
Enumeration date
Nov 9, 2005
Certification date
Jan 21, 2020
Last updated
Jan 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityN446RIYes

Other names

  • Avalon Nursing Home (Doing Business As)

Practice location

57 Stokes St
Warwick, RI 02889-3425

Phone 401-738-1200 · Fax 401-738-9430

Mailing address

57 Stokes St
Warwick, RI 02889-3425

Phone 401-738-1200 · Fax 401-738-9430

Authorized official

David Stephen Kowalik
Assistant Administrator
4017381200

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