Organization
ALLAN'S PLACE EXTENDED COMFORT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN WAIGERA LPN (OWNER)
(509) 309-2748
Entity
Organization
Contact information
Practice address
3134 E 15TH AVE, SPOKANE, WA 99223-5110
(774) 313-0201
(509) 357-1308
Mailing address
3134 E 15TH AVE, SPOKANE, WA 99223-5110
(774) 313-0201
(509) 357-1308
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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