AVALON # 3
Adult Care Home
Raleigh, North Carolina
Provider NPI: 1447588751
Organization Information:Organization Name: AVALON # 3
Practice Location:
4133 WHITE PINE DR RALEIGH, NC 27612 US
Tel: 336-253-2219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
4133 WHITE PINE DR RALEIGH, NC 27612 US
Tel: 336-253-2219 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC |