Provider Demographics
NPI:1336352574
Name:AVALON & BEYOND, INC.
Entity Type:Organization
Organization Name:AVALON & BEYOND, INC.
Other - Org Name:AVALON HEALTH ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIOSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-240-6102
Mailing Address - Street 1:7450 DEL REY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1409
Mailing Address - Country:US
Mailing Address - Phone:702-240-6102
Mailing Address - Fax:702-240-6104
Practice Address - Street 1:7450 DEL REY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1409
Practice Address - Country:US
Practice Address - Phone:702-240-6102
Practice Address - Fax:702-240-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1934AGZ-11311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)