# VIERCK LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Creek Adult Family Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568800035
- **Authorized official:** MR. DARREN DAVID VIERCK RN (PRESIDENT)
- **Authorized official phone:** (360) 907-3997

## Contact information

- **Practice address:** 22918 NE 169TH ST, BRUSH PRAIRIE, WA 98606-8716
- **Practice address phone:** (360) 907-3997
- **Mailing address:** 22918 NE 169TH ST, BRUSH PRAIRIE, WA 98606-8716
- **Mailing address phone:** (360) 907-3997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 456900 | WA | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013