NPI | 1962909846 |
---|---|
Other Name | NATIVITY HOUSE |
Entity Type | Organization |
Authorized Contact | JOLEE ANN ELIZABETH SANKEY Credentialing & Enrollment Spvsr 206-474-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-04-09 |