Organization
AVALON RESIDENTIAL NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CARL MCDONALD (OWNER/MANAGING MEMBER)
(417) 413-0429
Entity
Organization
Contact information
Practice address
207 N JEFFERSON ST, SAINT JAMES, MO 65559-1919
(573) 647-0927
Mailing address
PO BOX 322, SAINT JAMES, MO 65559-0322
(417) 413-0429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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