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Organization

LANDER HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IRA PRESTON MEEKS (OWNER)
(360) 736-8598
Entity
Organization

Contact information

Practice address
607 LANDER DR, CENTRALIA, WA 98531-5535
(360) 736-8598
(360) 807-6004
Mailing address
607 LANDER DR, CENTRALIA, WA 98531-5535
(360) 736-8598
(360) 807-6004

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
309902
WA

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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