Provider: Vickie L. Derum

Address:
4326 Pine St.
Longview, WA 98632
Cowlitz County

Telephone:
(360) 423-5080

Licensed Bed Count: 6

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

Disclosure of Services: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHServices.aspx?Lic=179102
Has Reports? Yes
Reports Link: https://fortress.wa.gov/dshs/adsaapps/lookup/AFHForms.aspx?Lic=179102