NPI 1134778830

Callaway Gardens Opco, LLC

Organisation Assisted Living Facility Kennewick, WA

Practice location

Address: 5505 W Skagit CT, Kennewick, WA 99336-1374
Phone: (509) 736-6367
Mailing address: 5101 NE 82nd Ave STE 200, Vancouver, WA 98662-6343

Authorised official

Name: Charmene Hernandez
Title: Director of Accounting
Phone: (360) 984-2634

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1134778830
Entity type: Organization
NPI issued: 5 Sep 2019
Record last updated: 5 Sep 2019

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.