Hazel Dell Ventures Llc

NPI 1447387626 - Assisted Living Facility - 310400000X

NPI Details
NPI 1447387626
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY J GREGORY
Position MANAGING MEMBER
Phone (360) 693-2402
Fax (360) 693-5011
Practice Location
7514 NE 13TH AVE
VANCOUVER WA, 98665-0458, US
Phone (360) 693-2402
Fax (360) 693-5011
Business Location
7700 NE PARKWAY DR
SUITE 300
VANCOUVER WA, 98662-6648, US
Phone (360) 735-7155
Fax (360) 735-9416
Toxanomy
Taxonomy Code 310400000X
License State Washington
License Number BH 1615
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According to our database, Hazel Dell Ventures Llc NPI is 1447387626, taxonomy code is 310400000X and license number is BH 1615, license state is located at Washington. Hazel Dell Ventures Llc physically located at 7514 Ne 13th Ave, Vancouver WA, 98665-0458. NPI Number 1033115704 has the healthcare provider type.

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1447387626 NPI number is provided on an as is basis without warranty of any kind. 1447387626 is maintained by the National Plan & Provider Enumeration System. The contents of Hazel Dell Ventures Llc are for informational purposes only.