OrganizationActive
Avalon Care Center-Willow Wood, Inc
NPI 1689675340 · Skilled Nursing Facility · Salt Lake City, UT
Provider details
- NPI number
- 1689675340
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Faye Lincoln, Vp, Policy/Government Relations(801) 325-0153
- License
- 2004-NCF-481 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1205 E 4725 S
Salt Lake City, UT 84117-4917
Phone: (801) 262-2908
Fax: (801) 262-2963
Approximate (ZIP-level) locationGet directions
Mailing address
206 N 2100 W
Salt Lake City, UT 84116-4740
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2020-08-10
- Certified
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.