Organization
AVALON CARE CENTER TUCSON LLC
Active
Other names
Avalon Southwest Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS)
(801) 325-0153
Entity
Organization
Contact information
Practice address
2900 E AJO WAY, TUCSON, AZ 85713-6211
(520) 294-0005
(520) 294-4417
Mailing address
206 N 2100 W, SUITE 200, SALT LAKE CITY, UT 84116-4740
(801) 325-0153
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
835118
—
AZ
Enumeration date
09/06/2005
Last updated
06/14/2017
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