Organization
AVALON CARE CENTER - CHOWCHILLA, LLC
Active
Other names
Chowchilla Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS)
(801) 325-0153
Entity
Organization
Contact information
Practice address
1010 VENTURA AVE, CHOWCHILLA, CA 93610-2368
(559) 665-4826
(559) 665-4074
Mailing address
206 N 2100 W, SUITE 200, SLC, UT 84116-4740
(801) 325-0153
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05047L
—
CA
Enumeration date
09/06/2005
Last updated
07/21/2022
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