Organization
AGING WITH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA GUDISHVILI RN (OWNER)
(360) 558-7282
Entity
Organization
Contact information
Practice address
22300 NE 58TH ST, VANCOUVER, WA 98682-9046
(360) 852-3884
Mailing address
22300 NE 58TH ST, VANCOUVER, WA 98682-9046
(360) 852-3884
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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