# AVALON VILLA HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1245604925
- **Authorized official:** MR. AVROHOM LIEB TRESS (VP)
- **Authorized official phone:** (323) 823-3306

## Contact information

- **Practice address:** 12029 AVALON BLVD, LOS ANGELES, CA 90061-2838
- **Practice address phone:** (323) 756-8191
- **Practice address fax:** (323) 754-4031
- **Mailing address:** 12029 AVALON BLVD, LOS ANGELES, CA 90061-2838
- **Mailing address phone:** (323) 756-8191
- **Mailing address fax:** (323) 754-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000075 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 03/30/2017