Organization
L-CAM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C AMONDSON-MULLER RN (OWNER)
(360) 740-7431
Entity
Organization
Contact information
Practice address
102 PINE DR, CHEHALIS, WA 98532-9633
(360) 740-7431
Mailing address
102 PINE DR, CHEHALIS, WA 98532-9633
(360) 740-7431
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750224
WA
311ZA0620X
Adult Care Home Facility
750937
WA
311ZA0620X
Adult Care Home Facility
752154
WA
311ZA0620X
Adult Care Home Facility
752683
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603123506
—
WA
Enumeration date
09/08/2014
Last updated
09/08/2014
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