Organization
HERITAGE ADULT HOME LLC
Active
Other names
Heritage Adult Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ENOCH MUIRURI MBURU (ADMINSTRATOR)
(206) 651-1460
Entity
Organization
Contact information
Practice address
16030 NE 14TH CIR, VANCOUVER, WA 98684-8789
(206) 651-1460
(360) 314-4020
Mailing address
16030 NE 14TH CIR, VANCOUVER, WA 98684-8789
(206) 651-1460
(360) 314-4020
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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