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Organization

SHELTON ASSISTED LIVING

Active
Other names
Maple Glen Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY CRABTREE (EXECUTIVE DIRECTOR)
(360) 427-0300
Entity
Organization

Contact information

Practice address
1700 N 13TH LOOP RD, SHELTON, WA 98584-2167
(360) 427-0300
(360) 427-0303
Mailing address
4610 NE 77TH AVE, SUITE #132, VANCOUVER, WA 98662-6789
(360) 449-4524
(360) 449-4525

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1447
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
938589
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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