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Organization
STONEWALL RESIDENTIAL CARE, LLC
Active
Organization
STONEWALL RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CAROL BELLAR RN (OWNER/PROVIDER)
(509) 413-9129
Entity
Organization
Contact information
Practice address
28921 N. RIVER ESTATES, CHATTAROY, WA 99003
(509) 413-9129
(509) 209-5684
Mailing address
28921 N. RIVER ESTATES, CHATTAROY, WA 99003
(509) 413-9129
(509) 209-5684
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
751213
WA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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