Organization
AVONDALE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUTHINEE AGCAOILI LAONIYOMTHAI (CEO)
(702) 767-0311
Entity
Organization
Contact information
Practice address
6215 E OWENS AVE, LAS VEGAS, NV 89110-1802
(702) 778-2753
(702) 778-2753
Mailing address
6215 E OWENS AVE, LAS VEGAS, NV 89110-1802
(702) 778-2753
(702) 778-2753
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
04/25/2024
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