# KENNEWICK MEMORY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsong at Southridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144983883
- **Authorized official:** MR. DONALD K HARRIS (MEMBER)
- **Authorized official phone:** (503) 991-6412

## Contact information

- **Practice address:** 4000 W 24TH AVE, KENNEWICK, WA 99338-2071
- **Practice address phone:** (509) 202-4327
- **Mailing address:** 1883 SW VISTA AVE, PORTLAND, OR 97201-2453
- **Mailing address phone:** (503) 991-6412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 10/19/2021