Organization
AVALON NURSING HOME INC
Active
Other names
Avalon Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STEPHEN KOWALIK (ASSISTANT ADMINISTRATOR)
(401) 738-1200
Entity
Organization
Contact information
Practice address
57 STOKES ST, WARWICK, RI 02889-3425
(401) 738-1200
(401) 738-9430
Mailing address
57 STOKES ST, WARWICK, RI 02889-3425
(401) 738-1200
(401) 738-9430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N446
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105060
—
RI
Enumeration date
11/09/2005
Last updated
01/21/2020
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