Organization
WOODLAND ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON G KASER (ADMINISTRATOR)
(360) 225-9443
Entity
Organization
Contact information
Practice address
310 4TH ST, WOODLAND, WA 98674-8488
(360) 225-9443
Mailing address
PO BOX 69, WOODLAND, WA 98674-0100
(360) 225-9443
(360) 225-3703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 1028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094722
—
WA
Enumeration date
04/11/2007
Last updated
08/22/2020
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