1405 S. Monroe Street Operations LLC
NPI #1578127213 in Moses Lake, Washington
Provider Information
- NPI Number
- 1578127213
- Entity Type
- Organization
- Organization Name
- 1405 S. Monroe Street Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUNBRIDGE HEALTHCARE LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 1405 S MONROE ST
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-4628
- Phone
- (509) 765-2200
Authorized Official
- Name
- MICHAEL T BERG
- Title
- AUTHORIZED OFFICIAL
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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