| NPI | 1760507594 |
|---|---|
| Doing Business As | BLOSSOM CREEK SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | JON M HARDER Manager 503-375-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH 1790) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-20 |