# WEEPING RIDGE WEST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275938243
- **Authorized official:** ISRAEL RODRIGUEZ (ADMINISTRATOR)
- **Authorized official phone:** (509) 989-1843

## Contact information

- **Practice address:** 2455 WEST BENCH RD, OTHELLO, WA 99344
- **Practice address phone:** (509) 989-1843
- **Practice address fax:** (509) 465-1813
- **Mailing address:** 12402 OSPREY RD, NINE MILE FALLS, WA 99026
- **Mailing address phone:** (509) 989-1843
- **Mailing address fax:** (509) 465-1813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 751171 | WA | Yes |

## Other

- **Enumeration date:** 11/03/2014
- **Last updated:** 11/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 273641 | ADULT FAMILY HOME | WA |