Weeping Ridge Estate Adult Family Home INC
NPI #1457756421 in Othello, Washington
Provider Information
- NPI Number
- 1457756421
- Entity Type
- Organization
- Organization Name
- Weeping Ridge Estate Adult Family Home INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 3, 2014
- Last Updated
- Nov 3, 2014
Practice Location
- Address
- 2455 W. BENCH RD
- City
- Othello
- State
- Washington
- ZIP Code
- 99344
- Phone
- (509) 989-1843
Authorized Official
- Name
- MR. ISRAEL RODRIGUEZ
- Title
- ADMINISTRATOR
- Phone
- (509) 989-1843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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