# THE 13TH STREET HOUSE LLC

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

## Provider details

- **NPI number:** 1932372752
- **Authorized official:** MRS. SANDRA A WOLD NAR (ADMINISTRATOR)
- **Authorized official phone:** (360) 260-2686

## Contact information

- **Practice address:** 19917 NE 13TH ST, CAMAS, WA 98607-7678
- **Practice address phone:** (360) 260-2686
- **Practice address fax:** (360) 397-0483
- **Mailing address:** 19917 NE 13TH ST, CAMAS, WA 98607-7678
- **Mailing address phone:** (360) 260-2686
- **Mailing address fax:** (360) 397-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750770 | WA | Yes |

## Other

- **Enumeration date:** 04/13/2008
- **Last updated:** 04/13/2008