Organization
MAPLE CREEK SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE RYAN (DIRECTOR OF ACCOUNTING SERVICES)
(253) 222-0658
Entity
Organization
Contact information
Practice address
10420 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5041
(253) 588-0227
Mailing address
11939 NW PIONEER RD, SEABECK, WA 98380-9008
(360) 509-4886
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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