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Organization
VIERCK LTD
Active
Organization
VIERCK LTD
Active
Other names
Canyon Creek Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN DAVID VIERCK RN (PRESIDENT)
(360) 907-3997
Entity
Organization
Contact information
Practice address
22918 NE 169TH ST, BRUSH PRAIRIE, WA 98606-8716
(360) 907-3997
Mailing address
22918 NE 169TH ST, BRUSH PRAIRIE, WA 98606-8716
(360) 907-3997
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
456900
WA
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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