The 13th Street House LLC
NPI #1932372752 in Camas, Washington
Provider Information
- NPI Number
- 1932372752
- Entity Type
- Organization
- Organization Name
- The 13th Street House LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 13, 2008
- Last Updated
- Apr 13, 2008
Practice Location
- Address
- 19917 NE 13TH ST
- City
- Camas
- State
- Washington
- ZIP Code
- 98607-7678
- Phone
- (360) 260-2686
Authorized Official
- Name
- MRS. SANDRA A WOLD, NAR
- Title
- ADMINISTRATOR
- Phone
- (360) 260-2686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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