Organization
SHALOM OASIS ADULT CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KANGU (CARE PROVIDER)
(253) 753-3515
Entity
Organization
Contact information
Practice address
12917 NE 55TH ST, VANCOUVER, WA 98682-2170
(253) 753-3515
Mailing address
12917 NE 55TH ST, VANCOUVER, WA 98682-2170
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/09/2025
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