| NPI | 1447387626 |
|---|---|
| Doing Business As | PRESTIGE ASSISTED LIVING AT HAZEL DELL |
| Entity Type | Organization |
| Authorized Contact | GREGORY J VISLOCKY Managing Member 360-735-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH 1615) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |