JODY WELCKER PROVINE

NORTH BEND, WA
NPI1841669272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
-- JODY WELCKER PROVINE PTA
219 CEDAR AVE S
NORTH BEND, WA 98045-8262
Phone number: 425-888-2129
Mailing Address
-- JODY WELCKER PROVINE PTA
219 CEDAR AVE S
NORTH BEND, WA 98045-8262
Phone number: 425-888-2129
Similar providers in North Bend, WA
MIDDLES HOLDINGS LLC
BD NORTH BEND I, LLC