Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL ANNE PETTIBONE
Active Sole ProprietorCAROL ANNE PETTIBONE is a Assisted Living Facility healthcare provider located in WALLA WALLA, Washington. NPI 1114704319 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · WALLA WALLA, WA
Registration Details
- NPI Number
- 1114704319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2023 (2.9679634250162 yrs)
- Last Updated
- Sep 11, 2023
- License
-
310601 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1840 GRAY LYNN DRWALLA WALLA, WA, 993629247Browse WA providers · Browse ZIP 99362
- Phone
- 5095293447
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.