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Organization

BLUEBERRY HILLS ADULT FAMILY HOME

Active
Other names
Grace Land Adult Family Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FE PANGAN CAVA (OWNER)
(360) 687-4433
Entity
Organization

Contact information

Practice address
20613 NE 176TH AVE, BATTLE GROUND, WA 98604-3608
(360) 687-4433
(360) 687-9113
Mailing address
20613 NE 176TH AVE, BATTLE GROUND, WA 98604-3608
(360) 687-4433
(360) 687-9113

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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