IndividualActive
Agnes Cabanilla
NPI 1427647197 · Adult Care Home Facility · Vancouver, WA
Provider details
- NPI number
- 1427647197
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 754812 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7523 Alabama Dr
Vancouver, WA 98664-2203
Phone: (360) 258-1994
Approximate (ZIP-level) locationGet directions
Mailing address
7523 Alabama Dr
Vancouver, WA 98664-2203
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.