NPI 1700200011
Stonewall Residential Care, LLC
Practice location
- Address
- 28921 N. River Estates, Chattaroy, WA 99003
- Phone
- (509) 413-9129
- Fax
- (509) 209-5684
Authorised official
- Name
- Angela Carol Bellar
- Title
- Owner/Provider
- Phone
- (509) 413-9129
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1700200011
- Entity type
- Organization
- NPI issued
- 6 Feb 2014
- Record last updated
- 6 Feb 2014
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.