Organization · Type 2 NPI

1405 S. Monroe Street Operations LLC

Assisted Living Facility · Moses Lake, WA

NPI number 1811938400 Active

Practice location

1405 S Monroe St
Moses Lake, WA 98837-4628

Call (509) 765-2200 Map

Fax (509) 765-9622

Mailing address

101 Sun Ave NE, Compliance Department
Albuquerque, NM 87109-4373

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	BH1286 (WA)

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.

2 other providers at this address

Other assisted living facility providers in Moses Lake

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NPI record

NPI: 1811938400
Entity type: Organization (Type 2)
Issued: Jun 8, 2006
Last updated: Feb 18, 2020
Status: Active

Other names

<unavail>
Monroe House · doing business as
Monroe House · doing business as
Monroe House A Senior Living Community · doing business as

Authorized official

Michael T Berg
VP Asst Secretary
(505) 468-4742

Verify this record

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 1811938400

1405 S. Monroe Street Operations LLC's National Provider Identifier is 1811938400, issued on Jun 8, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Moses Lake, WA. The record was last updated on Feb 18, 2020.