Fort Vancouver Assisted Living, Llc

NPI 1730575267 - Assisted Living Facility - 310400000X

NPI Details
NPI 1730575267
Enumeration Date 04/10/2015
Last Updated 04/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DALE L. DALE
Position CEO AND MANAGER
Phone (360) 892-6628
Fax (360) 882-5793
Practice Location
8507 NE 8TH WAY
VANCOUVER WA, 98664-1980, US
Phone (360) 892-6628
Fax (360) 882-5793
Business Location
4601 NE 77TH AVE
SUITE 300
VANCOUVER WA, 98662-6729, US
Phone (360) 892-6628
Fax (360) 882-5793
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Fort Vancouver Assisted Living, Llc NPI is 1730575267, taxonomy code is 310400000X Fort Vancouver Assisted Living, Llc physically located at 8507 Ne 8th Way, Vancouver WA, 98664-1980. NPI Number 1033115704 has the healthcare provider type.

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1730575267 NPI number is provided on an as is basis without warranty of any kind. 1730575267 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Vancouver Assisted Living, Llc are for informational purposes only.