NPI 1023121340

Liberty Development Company, LLC

Organisation Assisted Living Facility Colfax, WA

Practice location

Address: 300 S Main St, Colfax, WA 99111-1971
Phone: (509) 397-6123
Fax: (509) 397-6367

Authorised official

Name: Shauna J. Miller
Title: President
Phone: (208) 772-2743

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence BH 1624 (WA)

Other Assisted Living Facility providers in Washington →

Registry record

NPI: 1023121340
Entity type: Organization
NPI issued: 17 Aug 2006
Record last updated: 22 Aug 2020

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.