NPI | 1225151004 |
---|---|
Doing Business As | SENIOR & DISABILITY SERVICES |
Entity Type | Organization |
Authorized Contact | SARA J FOLSOM C&R Supervisor 360-312-2489 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-01-25 |