Organization · Type 2 NPI

Fort Vancouver Assisted Living, LLC

Assisted Living Facility · Vancouver, WA

NPI number 1730575267 Active

Practice location

8507 NE 8th Way
Vancouver, WA 98664-1980

Call (360) 892-6628 Map

Fax (360) 882-5793

Mailing address

4601 NE 77th Ave, Suite 300
Vancouver, WA 98662-6729

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

27 other providers at this address

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NPI record

NPI: 1730575267
Entity type: Organization (Type 2)
Issued: Apr 10, 2015
Last updated: Jan 30, 2017
Status: Active
Subpart: Yes of Empres Washington Healthcare, LLC

Other names

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Fort Vancouver Assisted Living · doing business as

Authorized official

Brent Weil
CEO and Manager
(360) 892-6628

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730575267

Fort Vancouver Assisted Living, LLC's National Provider Identifier is 1730575267, issued on Apr 10, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 30, 2017.