| NPI | 1811422389 |
|---|---|
| Doing Business As | LAKE HENDON ESTATE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ANTHONY LEVERMAN CFO 360-721-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12917) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |