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Organization
AVALON GARDENS REHABILITATION & HEALTH CARE CTR LLC
Active
Organization
AVALON GARDENS REHABILITATION & HEALTH CARE CTR LLC
Active
Other names
AVALON GARDENS REHABILITATION AND HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OCONNOR LNHA (ADMINISTRATOR)
(631) 724-2200
Entity
Organization
Contact information
Practice address
7 ROUTE 25A, SMITHTOWN, NY 11787-1626
(631) 724-2200
(631) 724-2909
Mailing address
7 ROUTE 25A, SMITHTOWN, NY 11787-1626
(631) 724-2200
(631) 724-2909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
026282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02569895
—
NY
01
—
2063005
PK
—
Enumeration date
08/18/2006
Last updated
09/23/2016
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