| NPI | 1346518388 |
|---|---|
| Other Name | CANYON CREEK MEMORY CARE COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | EMMETT AARON KOELSCH Manager 360-867-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2024-11-20 |