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Organization
AVALON HOMES
Active
Organization
AVALON HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA NWANKWO (ADMINISTRATOR)
(336) 253-2219
Entity
Organization
Contact information
Practice address
202 LINDELL DR, APEX, NC 27539-5390
(919) 387-7429
Mailing address
4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
(336) 253-2219
(919) 872-7456
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
092713
NC
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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