Provider Demographics
NPI:1154786721
Name:AVALON NONPROFIT HOUSING CORPORATION
Entity type:Organization
Organization Name:AVALON NONPROFIT HOUSING CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HR / ADMIN DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-663-5858
Mailing Address - Street 1:1327 JONES DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1892
Mailing Address - Country:US
Mailing Address - Phone:734-663-5858
Mailing Address - Fax:734-663-4857
Practice Address - Street 1:1327 JONES DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1892
Practice Address - Country:US
Practice Address - Phone:734-663-5858
Practice Address - Fax:734-663-4857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health