Organization
WOODLAND RETIREMENT & ASSISTED LIVING COMMUNTIY LLC
Active
Other names
Woodland Retirement & Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (CEO-PRES OF MANAGER)
(503) 566-5715
Entity
Organization
Contact information
Practice address
3220 STATE ST, SUITE 200, SALEM, OR 97301-6872
(503) 566-5715
(503) 588-3531
Mailing address
4532 INTELCO LOOP SE, LACEY, WA 98503-5561
(360) 528-3253
(360) 528-3254
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1709
WA
Other
Enumeration date
05/07/2007
Last updated
10/04/2007
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