Carol Anne Pettibone
Carol Anne Pettibone is an Adult Care Home Facility in Walla Walla, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
1840 Gray Lynn DrWalla Walla, WA 99362-9247
Phone: (509) 529-3447
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 310601 (WA) |
|---|
Record details
| NPI number | 1114704319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |