Washington Odd Fellows Home
NPI #1639169097 in Walla Walla, Washington
Provider Information
- NPI Number
- 1639169097
- Entity Type
- Organization
- Organization Name
- Washington Odd Fellows Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Feb 23, 2011
Practice Location
- Address
- 534 BOYER AVENUE
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362
- Phone
- (509) 525-6463
Authorized Official
- Name
- JOHN R BRIGHAM
- Title
- ADMINISTRATOR
- Phone
- (509) 525-6463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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