Organization
AVALON VILLA HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVROHOM LIEB TRESS (VP)
(323) 823-3306
Entity
Organization
Contact information
Practice address
12029 AVALON BLVD, LOS ANGELES, CA 90061-2838
(323) 756-8191
(323) 754-4031
Mailing address
12029 AVALON BLVD, LOS ANGELES, CA 90061-2838
(323) 756-8191
(323) 754-4031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000075
CA
Other
Enumeration date
11/18/2015
Last updated
03/30/2017
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