Sherwood Adult Family Home, LLC
NPI #1255607198 in Vancouver, Washington
Provider Information
- NPI Number
- 1255607198
- Entity Type
- Organization
- Organization Name
- Sherwood Adult Family Home, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Mar 26, 2012
- Last Updated
- Mar 26, 2012
Practice Location
- Address
- 11017 NE SHERWOOD DRIVE
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98686
- Phone
- (360) 718-8543
Authorized Official
- Name
- MRS. LAURIE M DAVIS, RN00069341
- Title
- OWNER, OPERATOR
- Phone
- (360) 718-8543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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