| NPI | 1699377440 |
|---|---|
| Doing Business As | EDGEMONT PLACE ALZHEIMER'S SPECIAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | W. CODY ERWIN Managing Member 360-772-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-06-03 |