Organization · Type 2 NPI

Stafford Creek Correction Center

Custodial Care Facility · Aberdeen, WA

NPI number 1952506420 Active

Practice location

191 Constantine Way
Aberdeen, WA 98520-9504

Fax (360) 537-2075

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Custodial Care Facility Primary 311Z00000XNone listed
Physician Assistant 363A00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

4 other providers at this address

About NPI 1952506420

Stafford Creek Correction Center's National Provider Identifier is 1952506420, issued on Jun 15, 2007. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Aberdeen, WA. The record was last updated on Sep 11, 2025.