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Washington Odd Fellows Home
Assisted Living Facility in Walla Walla, Washington
NPI 1114917630

Washington Odd Fellows Home is an Assisted Living Facility based in Walla Walla, WA. Washington Odd Fellows Home practices in Walla Walla, WA. The NPI Number for Washington Odd Fellows Home is 1114917630 and holds a License No. BH125 (Washington).

The current practice location address for Washington Odd Fellows Home is 534 Boyer Ave, Walla Walla, WA and can be reached out via phone at 509-525-6463 and via fax at 509-522-0578.

Location: 534 Boyer Ave, Walla Walla, WA, 99362-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114917630
Provider Name
Washington Odd Fellows Home
Credential
Provider Entity Type
Organization
Address
534 Boyer Ave, Walla Walla, WA, 99362-2047
Phone Number
509-525-6463
Fax Number
509-522-0578
Provider Enumeration Date
10/26/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
129082 05 WA
institution
Provider Business Practice Location Address Details
Address
534 Boyer Ave
City
Walla Walla
State
Washington
Zip
99362-2047
Phone Number
509-525-6463
Fax Number
509-522-0578
person
Provider Business Mailing Address Details
Address
534 Boyer Ave
City
Walla Walla
State
Washington
Zip
99362-2047
Phone Number
509-525-6463
Fax Number
509-522-0578
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
BH125 (Washington)
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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