NPI 1003357096

Callaway Gardens Management Wa LLC

Organisation Assisted Living Facility Kennewick, WA

Practice location

Address: 5505 W Skagit CT, Kennewick, WA 99336-1374
Phone: (509) 783-5433
Mailing address: 200 Crescent CT STE 440, Dallas, TX 75201-6964

Authorised official

Name: Trent Johnson
Title: Manager
Phone: (469) 804-3716

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003357096
Entity type: Organization
NPI issued: 10 Mar 2017
Record last updated: 10 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.