# BLUEBERRY HILLS ADULT FAMILY HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Land Adult Family Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306017124
- **Authorized official:** MRS. FE PANGAN CAVA (OWNER)
- **Authorized official phone:** (360) 687-4433

## Contact information

- **Practice address:** 20613 NE 176TH AVE, BATTLE GROUND, WA 98604-3608
- **Practice address phone:** (360) 687-4433
- **Practice address fax:** (360) 687-9113
- **Mailing address:** 20613 NE 176TH AVE, BATTLE GROUND, WA 98604-3608
- **Mailing address phone:** (360) 687-4433
- **Mailing address fax:** (360) 687-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008