Organization
MCP VILLAGE WA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRAHAM (PRESIDENT)
(214) 443-8329
Entity
Organization
Contact information
Practice address
4707 S ORCHARD ST, TACOMA, WA 98466-6600
(253) 475-4707
Mailing address
12377 MERIT DR STE 500, DALLAS, TX 75251-2343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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