Organization
CHEHALIS WEST ASSISTED LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEFANIE L WAHL (BOOKKEEPER)
(360) 748-9911
Entity
Organization
Contact information
Practice address
478 NW QUINCY PL, CHEHALIS, WA 98532-1628
(360) 748-9911
(360) 748-4642
Mailing address
478 NW QUINCY PL, CHEHALIS, WA 98532-1628
(360) 748-9911
(360) 748-4642
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111783901
—
WA
Enumeration date
06/24/2020
Last updated
07/07/2020
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