Organization · NPI-2

Avalon Healthcare - Tacoma, LLC

Skilled Nursing Facility · Tacoma, WA

NPI number1942040563

StatusActive

Last updated in NPPESMay 30, 2024

Details

NPI: 1942040563
Entity type: Organization (NPI-2)
Legal business name: Avalon Healthcare - Tacoma, LLC
Organization subpart: No
Enumeration date: May 30, 2024
Certification date: May 30, 2024
Last updated: May 30, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	–	–	Yes

Other names

Avalon Healthcare - Tacoma (Doing Business As)

Practice location

7411 Pacific Ave
Tacoma, WA 98408-7118

Phone 253-474-8446

Mailing address

206 N 2100 W Ste 100
Salt Lake City, UT 84116-4741

Phone 801-596-8844

Authorized official

Hyrum Kirton
Senior Vice President
8015968844

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