| NPI | 1841447752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CARROLL Program Specialist 360-374-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA IS-264) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: WA IS-264) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2018-06-01 |