OrganizationAvalon Care Center-Federal Way LlcSkilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address135 S 336th St, Federal Way, WA 98003-6350(253) 835-7453(801) 325-0153PECOS EnrollmentBased on the most recent information from CMS, provider Avalon Care Center-Federal Way Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1902890262Provider TypeOrganizationFull NameAvalon Care Center-Federal Way LlcSubpartNoEnumeration Date9/1/2005Last Updated8/17/2022Contact InformationPractice LocationPractice Address135 S 336th St, Federal Way, WA 98003-6350Phone(253) 835-7453Fax(253) 835-3903Mailing LocationMailing Address206 N 2100 W, Salt Lake City, UT 84116-2927Phone(801) 325-0153Fax(801) 596-9001Authorized OfficialNameKirton, Charles (Ceo/Chairman)Phone(801) 596-8844Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicense1355WashingtonProvider IdentifiersIDDescriptionIssuerID4113551DescriptionMedicaidIssuerUnlistedWashington