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A Place To Call Home, LLC

Registered Nurse, General Practice in Vancouver, WA. Organization (NPI-2).

NPI number1184340184
StatusActive
Last updated in NPPESOct 12, 2022

Details

NPI
1184340184
Entity type
Organization (NPI-2)
Legal business name
A Place To Call Home, LLC
Organization subpart
No
Enumeration date
Oct 12, 2022
Certification date
Oct 12, 2022
Last updated
Oct 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice––Yes

Practice location

14802 Ne 117th Cir
Vancouver, WA 98682-1912

Phone 360-931-1373 · Fax 360-882-1633

Mailing address

14802 Ne 117th Cir
Vancouver, WA 98682-1912

Phone 360-931-1373 · Fax 360-882-1633

Authorized official

Michelle Jodene Simmons
Owner Arnp
3609311373

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