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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