Crh Peters Creek LLC
Assisted Living Facility in Redmond, WA. Organization (NPI-2).
NPI number1356769293
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1356769293
- Entity type
- Organization (NPI-2)
- Legal business name
- Crh Peters Creek LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 28, 2014
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 2245 | WA | Yes |
Other names
- Peters Creek (Doing Business As)
Practice location
14431 Redmond WayRedmond, WA 98052-4245
Phone 425-869-2273 · Fax 425-861-1876
Mailing address
Po Box 1410Bend, OR 97709-1410
Phone 541-317-9188 · Fax 541-389-3710
Authorized official
Don Tavolacci
Managing Member
5413179188
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