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Organization

SSA VIII, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE FIELD (AUTHORIZED DESIGNEE)
(253) 474-0425
Entity
Organization

Contact information

Practice address
2421 VINEYARD AVE, LEWISTON, ID 83501-6354
(208) 743-6500
Mailing address
1201 PACIFIC AVE STE 450, TACOMA, WA 98402-4382

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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