Organization
CRH PETERS CREEK LLC
Active
Parent organization
CRH NORTHWEST
Other names
Peters Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRH NORTHWEST
Authorized official
DON TAVOLACCI (MANAGING MEMBER)
(541) 317-9188
Entity
Organization
Contact information
Practice address
14431 REDMOND WAY, REDMOND, WA 98052-4245
(425) 869-2273
(425) 861-1876
Mailing address
PO BOX 1410, BEND, OR 97709-1410
(541) 317-9188
(541) 389-3710
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2245
WA
Other
Enumeration date
03/28/2014
Last updated
10/07/2021
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