NPI 1306017124

Blueberry Hills Adult Family Home

Organisation Adult Care Home Facility Battle Ground, WA

Practice location

Address: 20613 NE 176th Ave, Battle Ground, WA 98604-3608
Phone: (360) 687-4433
Fax: (360) 687-9113

Authorised official

Name: Fe Pangan Cava
Title: Owner
Phone: (360) 687-4433

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1306017124
Entity type: Organization
NPI issued: 19 Mar 2008
Record last updated: 19 Mar 2008

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.