Organization
CALLAWAY GARDENS OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMENE HERNANDEZ (DIRECTOR OF ACCOUNTING)
(360) 984-2634
Entity
Organization
Contact information
Practice address
5505 W SKAGIT CT, KENNEWICK, WA 99336-1374
(509) 736-6367
Mailing address
5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
(360) 984-2634
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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