Organization
NORMANDY PARK ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LAVERLY (EXECUTIVE DIRECTOR)
(206) 241-0821
Entity
Organization
Contact information
Practice address
16625 1ST AVE S, BURIEN, WA 98148-1427
(206) 241-0821
(206) 241-0708
Mailing address
4610 NE 77TH AVE, SUITE 132, VANCOUVER, WA 98662-6789
(206) 241-0821
(206) 241-0708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1688
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158682
—
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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