<Unavail>

LBN: Avalon Care Center-San Andreas Llc
<Unavail> is an health care organization with primary practice located at 900 Mountain Ranch Rd , San Andreas CA 95249-9713. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avalon Care Center-San Andreas Llc can be contacted via phone (209) 754-3823, or through Kirton, Charles via phone (801) 596-8844.

Contact Information

Primary practice address
900 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 754-3823
Fax: (209) 754-5621
Website:
Map and Directions
Authorized official contact:
Name: Kirton, Charles
Phone: (801) 596-8844

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030000135 California

Profile Details

NPI number 1215921242
LBN Legal business name Avalon Care Center-San Andreas Llc
DBA Doing business as <Unavail>
Authorized official Kirton, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 17th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215921242 NPPES
California MEDICAID ZZR061321I

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