Organization
HAVEN IN ALLY LLC
Active
Other names
Haven in Allyn Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JAMERSON (ADMINISTRATOR)
(360) 621-1110
Entity
Organization
Contact information
Practice address
180 E WHEELWRIGHT ST, ALLYN, WA 98524-8716
(360) 277-0636
(360) 275-4021
Mailing address
PO BOX 928, ALLYN, WA 98524-0928
(360) 277-0636
(360) 275-4021
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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