OrganizationActive
Assisted Living Concepts Inc
NPI 1699891135 · Assisted Living Facility · Port Angeles, WA
Provider details
- NPI number
- 1699891135
- 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
- BH1840 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1133 East Park Avenue
Port Angeles, WA 98362
Phone: (360) 452-7201
Fax: (360) 452-4051
Approximate (ZIP-level) locationGet directions
Mailing address
111 W Michigan Street
Milwaukee, WI 53203
Other names (DBA / former)
- Doing business as
- Laurel Park Assisted Living
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.