Spruce Avenue's central location has attracted Kingsway Garden Mall, The Northern Alberta Institute of Technology and the Municipal Airport. The Glenrose Rehabilitation Hospital (the original Royal Alexandra) was one of Edmonton's largest until its replacement was built. Spruce Avenue's age-sex composition reveal a high proportion of individuals 70 years or older, probably due to an extended care facility in the neighbourhood. The neighbourhood takes its name from the former designation for 114 Avenue.
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