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Provider: Christina T. Basov

Address:
7709 Ne 107th Ave. Bldg 1
Vancouver, WA 98662
Clark County

Telephone:
(360) 254-3998

Licensed Bed Count: 2

Specialty Certifications: Mental Health, Dementia, Developmental Disabilities
Contracts: Adult Family Home

Disclosure of Services: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHServices.aspx?Lic=753190
Has Reports? Yes
Reports Link: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHForms.aspx?Lic=753190