| Organization Name: | WEEPING RIDGE WEST, INC. |
| NPI Number: | 1275938243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ISRAEL RODRIGUEZ (ADMINISTRATOR) |
| Mailing Address: | 2455 West Bench Rd Othello |
| State: | WA US |
| Postal Code: | 99344 |
| Phone Number: | 5099891843 |
| Fax Number: | 5094651813 |
| NPI Enumeration Date: | 11/03/2014 |
| NPI Last Update Date: | 11/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311ZA0620X |
| License Number: | 751171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Custodial Care Facility |
| Taxonomy Specialization: | Adult Care Home |
| Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |