OrganizationActive
Assisted Living Concepts Inc
NPI 1508982042 · Assisted Living Facility · Kelso, WA
Provider details
- NPI number
- 1508982042
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Levonowich, Vice President and Controller(414) 908-8800
- License
- BH1771 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
114 Corduroy Road
Kelso, WA 98607
Phone: (360) 636-2319
Fax: (360) 363-7756
Approximate (ZIP-level) locationGet directions
Mailing address
111 W Michigan Street
Milwaukee, WI 53203
Other names (DBA / former)
- Doing business as
- Crawford House
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.