Organization
1405 S. MONROE STREET OPERATIONS LLC
Active
Other names
Monroe House A Senior Living Community, Monroe House
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (VP ASST SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
1405 S MONROE ST, MOSES LAKE, WA 98837-4628
(509) 765-2200
(509) 765-9622
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1286
WA
Other
Enumeration date
06/08/2006
Last updated
02/18/2020
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