Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareLIBERTY DEVELOPMENT COMPANY, LLC
Assisted Living Facility
Colfax, Washington
Provider NPI: 1023121340
Organization Information:Organization Name: LIBERTY DEVELOPMENT COMPANY, LLC
Practice Location:
300 S MAIN ST COLFAX, WA 99111 US
Tel: 509-397-6123 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
300 S MAIN ST COLFAX, WA 99111 US
Tel: 509-397-6123 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WA | BH 1624 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| WA BOARDING HOME PROVIDER | BH 1624 | WA | 01 |
| 865214 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin