Whalio Doctors

NPI 1700200011

Stonewall Residential Care, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Chattaroy, WA

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
Residential Treatment Facilities Taxonomy 320600000X Licence 751213 (WA)

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.