Organization
AVALON CARE CENTER-MODESTO HY-LOND LLC
Active
Other names
Hy-Lond Health Care Center-Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KIRTON (CEO/CHAIRMAN)
(801) 596-8844
Entity
Organization
Contact information
Practice address
1900 COFFEE RD, MODESTO, CA 95355-2703
(209) 526-1775
(209) 526-5630
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 596-8844
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06301I
—
CA
Enumeration date
09/06/2005
Last updated
08/17/2022
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