Organization · Type 2 NPI
Resurrection Adult Family Home LLC
Licensed Practical Nurse · Vancouver, WA
NPI number
1205707486
Active
Practice location
14824 NE 81st St
Vancouver, WA 98682-3406
Fax (360) 768-5289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | None listed |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1205707486
Resurrection Adult Family Home LLC's National Provider Identifier is 1205707486, issued on Sep 12, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 12, 2025.