# AGING WITH CARE LLC

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

## Provider details

- **NPI number:** 1487392817
- **Authorized official:** TATYANA GUDISHVILI RN (OWNER)
- **Authorized official phone:** (360) 558-7282

## Contact information

- **Practice address:** 22300 NE 58TH ST, VANCOUVER, WA 98682-9046
- **Practice address phone:** (360) 852-3884
- **Mailing address:** 22300 NE 58TH ST, VANCOUVER, WA 98682-9046
- **Mailing address phone:** (360) 852-3884

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 05/25/2022