NPI 1255607198

Sherwood Adult Family Home, LLC

Organisation Custodial Care Facility Vancouver, WA

Practice location

Address: 11017 NE Sherwood Drive, Vancouver, WA 98686
Phone: (360) 718-8543
Fax: (360) 718-8645

Authorised official

Name: Laurie M Davis
Title: Owner, Operator
Phone: (360) 718-8543

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 751565 (WA)

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1255607198
Entity type: Organization
NPI issued: 26 Mar 2012
Record last updated: 26 Mar 2012

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.