Organization
AVALON GARDENS REHABILITATION AND HEALTH CARE CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN O'CONNOR (ADMINSTRATOR)
(631) 724-2200
Entity
Organization
Contact information
Practice address
7 ROUTE 25A, SMITHTOWN, NY 11787-1626
(631) 724-2200
(631) 724-2225
Mailing address
7 ROUTE 25A, SMITHTOWN, NY 11787-1626
(631) 724-2200
(631) 724-2225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5157313N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00315059
—
NY
05
—
01061178
—
NY
Enumeration date
01/11/2007
Last updated
03/09/2018
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