Washington Odd Fellows Home in Walla Walla - Assisted Living Facility
Washington Odd Fellows Home - NPI 1114917630
Washington Odd Fellows Home is a Assisted Living Facility in Walla Walla, Washington. Washington Odd Fellows Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Washington Odd Fellows Home is 1114917630. The last update date is 2020-08-22.
Washington Odd Fellows Home's current location address is 534 Boyer Ave, Walla Walla, Washington. You can contact this provider via phone number 5095256463 and fax number 5095220578. The mailing address for Washington Odd Fellows Home is 534 Boyer Ave, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Washington Odd Fellows Home |
|---|---|
| Address | 534 Boyer Ave, Walla Walla, Washington |
| Phone Number | 5095256463 |
| Fax Number | 5095220578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Brigham R John |
| Telephone Number | 5095256463 |
NPI Number Detail
| NPI Number | 1114917630 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 534 Boyer Ave |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993622047 |
| Phone Number | 5095256463 |
| Fax Number | 5095220578 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | BH125 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129082 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Washington Odd Fellows Home by the Centers for Medicare & Medicaid Services?
The Washington Odd Fellows Home has been issued the NPI (National Provider Identifier) 1114917630. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Washington Odd Fellows Home?
The Washington Odd Fellows Home is physically situated at 534 Boyer Ave, in the city of Walla Walla, state of WA, with the postal code 993622047.
What is Washington Odd Fellows Home's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Washington Odd Fellows Home's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.
When did the Washington Odd Fellows Home receive its 1114917630?
The Washington Odd Fellows Home was issued its 1114917630 on 2005-10-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Washington Odd Fellows Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Washington Odd Fellows Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.