Organization
AVON CONVALESCENT HOME, INC.
Active
Other names
Avon Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL SCHWARTZ (V.P. / DIRECTOR OF OPERATION)
(860) 490-9855
Entity
Organization
Contact information
Practice address
652 W AVON RD, AVON, CT 06001-2906
(860) 673-2521
(860) 675-1587
Mailing address
652 W AVON RD, AVON, CT 06001-2906
(860) 673-2521
(860) 675-1587
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
938-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009381
—
CT
Enumeration date
06/24/2006
Last updated
11/20/2015
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