# AVALON HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174788640
- **Authorized official:** IJEOMA NWANKWO (ADMINISTRATOR)
- **Authorized official phone:** (336) 253-2219

## Contact information

- **Practice address:** 202 LINDELL DR, APEX, NC 27539-5390
- **Practice address phone:** (919) 387-7429
- **Mailing address:** 4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
- **Mailing address phone:** (336) 253-2219
- **Mailing address fax:** (919) 872-7456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 092713 | NC | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 07/24/2008