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Organization

WHIPPLE CREEK SENIOR ESTATE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY SENIOR (OWNER)
(360) 566-1010
Entity
Organization

Contact information

Practice address
819 NE 155TH CIR, VANCOUVER, WA 98685-1709
(360) 566-1010
Mailing address
819 NE 155TH CIR, VANCOUVER, WA 98685-1709
(360) 566-1010

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750136
WA

Other

Enumeration date
04/17/2008
Last updated
04/17/2008
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