Liberty Development Company, Llc

NPI 1023121340 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023121340
Enumeration Date 08/17/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHAUNA J. SHAUNA
Position PRESIDENT
Phone (509) 397-6123
Fax (509) 397-6367
Practice Location
300 S MAIN ST
COLFAX WA, 99111-1971, US
Phone (509) 397-6123
Fax (509) 397-6367
Business Location
300 S MAIN ST
COLFAX WA, 99111-1971, US
Phone (509) 397-6123
Fax (509) 397-6367
Toxanomy
Taxonomy Code 310400000X
License State Washington
License Number BH 1624
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According to our database, Liberty Development Company, Llc NPI is 1023121340, taxonomy code is 310400000X and license number is BH 1624, license state is located at Washington. Liberty Development Company, Llc physically located at 300 S Main St, Colfax WA, 99111-1971. NPI Number 1033115704 has the healthcare provider type.

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1023121340 NPI number is provided on an as is basis without warranty of any kind. 1023121340 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Development Company, Llc are for informational purposes only.