Organization
NORTHWEST ROYAL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA POLYAKOV (DIRECTOR OF PATIENT CARE)
(360) 524-5653
Entity
Organization
Contact information
Practice address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662-3690
(360) 524-5653
Mailing address
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662-3690
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751903
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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