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Organization
SHERWOOD ADULT FAMILY HOME, LLC
Active
Organization
SHERWOOD ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE M DAVIS RN00069341 (OWNER, OPERATOR)
(360) 718-8543
Entity
Organization
Contact information
Practice address
11017 NE SHERWOOD DRIVE, VANCOUVER, WA 98686
(360) 718-8543
(360) 718-8645
Mailing address
11017 NE SHERWOOD DRIVE, VANCOUVER, WA 98686
(360) 718-8543
(360) 718-8645
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
751565
WA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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