Organization
A PART OF OUR FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY ANN STOVER (OWNER)
(509) 591-2803
Entity
Organization
Contact information
Practice address
2618 W 10TH AVE, KENNEWICK, WA 99336-4814
(509) 591-2803
(509) 591-0920
Mailing address
2618 W 10TH AVE, KENNEWICK, WA 99336-4814
(509) 591-2803
(509) 591-0920
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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