| NPI | 1235675380 |
|---|---|
| Doing Business As | PETERSON PLACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | HEIDI A PETERSON Administrator 509-979-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC1126) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |