THE 13TH STREET HOUSE LLC
Adult Care Home
Camas, Washington
Provider NPI: 1932372752
Organization Information:Organization Name: THE 13TH STREET HOUSE LLC
Practice Location:
19917 NE 13TH ST CAMAS, WA 98607 US
Tel: 360-260-2686 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
19917 NE 13TH ST CAMAS, WA 98607 US
Tel: 360-260-2686 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WA | 750770 |