| NPI | 1811383342 |
|---|---|
| Doing Business As | FORT VANCOUVER MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | DALE L. PATTERSON CEO And Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |