Organization
AVALON GARDENS REHAB AND HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN O'CONNOR (ADMINISTRATOR)
(631) 724-2200
Entity
Organization
Contact information
Practice address
7 RT 25 A, SMITHTOWN, NY 11787
(631) 724-2200
(631) 724-0358
Mailing address
7 RT 25 A, SMITHTOWN, NY 11787
(631) 724-2200
(631) 724-0358
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
5157313N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01061178
—
NY
Enumeration date
11/25/2008
Last updated
11/25/2008
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