# AVALON GARDENS REHABILITATION & HEALTH CARE CTR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVALON GARDENS REHABILITATION AND HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003920992
- **Authorized official:** SUSAN OCONNOR LNHA (ADMINISTRATOR)
- **Authorized official phone:** (631) 724-2200

## Contact information

- **Practice address:** 7 ROUTE 25A, SMITHTOWN, NY 11787-1626
- **Practice address phone:** (631) 724-2200
- **Practice address fax:** (631) 724-2909
- **Mailing address:** 7 ROUTE 25A, SMITHTOWN, NY 11787-1626
- **Mailing address phone:** (631) 724-2200
- **Mailing address fax:** (631) 724-2909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 026282 | NY | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02569895 | — | NY |
| 01 | — | 2063005 | PK | — |