| NPI | 1790011765 |
|---|---|
| Doing Business As | BRENTWOOD AT LAPORTE |
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 07-010890-1) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |