| NPI | 1356769293 |
|---|---|
| Doing Business As | PETERS CREEK |
| Entity Type | Organization |
| Authorized Contact | DON TAVOLACCI Managing Member 541-317-9188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA 2245) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2021-10-07 |