Organization
RIVERSIDE AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON AYRES RCP, RPSGT (OWNER)
(360) 597-3835
Entity
Organization
Contact information
Practice address
7410 SE EVERGREEN HWY, VANCOUVER, WA 98664-1718
(360) 597-3835
(360) 597-4654
Mailing address
7410 SE EVERGREEN HWY, VANCOUVER, WA 98664-1718
(360) 597-3835
(360) 597-4654
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
566200
WA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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