| NPI | 1730575267 |
|---|---|
| Doing Business As | FORT VANCOUVER ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | BRENT WEIL CEO And Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2017-01-30 |