# AVALON CARE CENTER - CHOWCHILLA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chowchilla Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154315182
- **Authorized official:** FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS)
- **Authorized official phone:** (801) 325-0153

## Contact information

- **Practice address:** 1010 VENTURA AVE, CHOWCHILLA, CA 93610-2368
- **Practice address phone:** (559) 665-4826
- **Practice address fax:** (559) 665-4074
- **Mailing address:** 206 N 2100 W, SUITE 200, SLC, UT 84116-4740
- **Mailing address phone:** (801) 325-0153
- **Mailing address fax:** (801) 596-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05047L | — | CA |