# BURNT BRIDGE CREEK LLC

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

## Provider details

- **NPI number:** 1578418687
- **Authorized official:** VALERIE JONES (ENTITY REPRESENTATIVE)
- **Authorized official phone:** (360) 241-7786

## Contact information

- **Practice address:** 15302 NE 46TH ST, VANCOUVER, WA 98682-7159
- **Practice address phone:** (360) 253-9626
- **Mailing address:** 15006 SE MEADOW PARK DR, VANCOUVER, WA 98683-8357
- **Mailing address fax:** (877) 271-9814

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/03/2026