| Organization Name: | CASCADE INN, LP |
| NPI Number: | 1003027350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARTH ROBERT BRANDT (VICE PRESIDENT, OPERATION) |
| Mailing Address: | 11613 Se 7th St Vancouver |
| State: | WA US |
| Postal Code: | 986835213 |
| Phone Number: | 3602543555 |
| Fax Number: | 3602532727 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |