NPI 1578127213

1405 S. Monroe Street Operations LLC

Organisation Assisted Living Facility Moses Lake, WA

Practice location

Address: 1405 S Monroe St, Moses Lake, WA 98837-4628
Phone: (509) 765-2200
Fax: (509) 765-2201
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Michael T Berg
Title: Authorized Official
Phone: (505) 468-4742

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Washington →

Registry record

NPI: 1578127213
Entity type: Organization
NPI issued: 29 Apr 2019
Record last updated: 29 Apr 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.