| NPI | 1912271289 |
|---|---|
| Doing Business As | VAN MALL RETIRMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM HESS General Manager 360-896-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WA BH972) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |