OrganizationActive
Angela Erdahl, RN
NPI 1356730022 · Assisted Living Facility · Graham, WA
Provider details
- NPI number
- 1356730022
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Erdahl, Registered Nurse(253) 847-2012
- License
- RN00172277 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
12102 294th St E
Graham, WA 98338-9048
Phone: (253) 847-2012
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 158
Kapowsin, WA 98344-0158
Registry dates
- Enumerated
- 2015-01-17
- Last updated
- 2015-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.