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Organization
HERITAGE ADULT HOME LLC
Active
Organization
HERITAGE ADULT HOME LLC
Active
Other names
Heritage Adult Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ENOCH MUIRURI MBURU (ADMINSTRATOR)
(206) 651-1460
Entity
Organization
Contact information
Practice address
16030 NE 14TH CIR, VANCOUVER, WA 98684-8789
(206) 651-1460
(360) 314-4020
Mailing address
16030 NE 14TH CIR, VANCOUVER, WA 98684-8789
(206) 651-1460
(360) 314-4020
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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