Organization Name: | BLUEBERRY HILLS ADULT FAMILY HOME |
NPI Number: | 1306017124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FE PANGAN CAVA (OWNER) |
Mailing Address: | 20613 Ne 176th Ave Battle Ground |
State: | WA US |
Postal Code: | 986043608 |
Phone Number: | 3606874433 |
Fax Number: | 3606879113 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |