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Hazel Dell Ventures Llc
Assisted Living Facility in Vancouver, Washington
NPI 1447387626

Hazel Dell Ventures Llc is an Assisted Living Facility based in Vancouver, WA. Hazel Dell Ventures Llc practices in Vancouver, WA. The NPI Number for Hazel Dell Ventures Llc is 1447387626 and holds a License No. BH 1615 (Washington).

The current practice location address for Hazel Dell Ventures Llc is 7514 Ne 13Th Ave, Vancouver, WA and can be reached out via phone at 360-693-2402 and via fax at 360-693-5011.

Location: 7514 Ne 13Th Ave, Vancouver, WA, 98662-6648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447387626
Provider Name
Hazel Dell Ventures Llc
Credential
Provider Entity Type
Organization
Address
7514 Ne 13Th Ave, Vancouver, WA, 98662-6648
Phone Number
360-693-2402
Fax Number
360-693-5011
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
995961 05 WA
institution
Provider Business Practice Location Address Details
Address
7514 Ne 13Th Ave
City
Vancouver
State
Washington
Zip
98665-0458
Phone Number
360-693-2402
Fax Number
360-693-5011
person
Provider Business Mailing Address Details
Address
7514 Ne 13Th Ave
City
Vancouver
State
Washington
Zip
98665-0458
Phone Number
360-693-2402
Fax Number
360-693-5011
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
BH 1615 (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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