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Organization
NORTHWEST ROYAL HOME CARE, LLC
Active
Organization
NORTHWEST ROYAL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA POLYAKOV (DIRECTOR OF PATIENT CARE)
(360) 524-5653
Entity
Organization
Contact information
Practice address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662-3690
(360) 524-5653
Mailing address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662-3690
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751903
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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