Forever Changed Foundation
Case Management in Tacoma, WA. Organization (NPI-2).
NPI number1760147375
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1760147375
- Entity type
- Organization (NPI-2)
- Legal business name
- Forever Changed Foundation
- Organization subpart
- No
- Enumeration date
- Nov 8, 2021
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
7804 Yakima AveTacoma, WA 98408-5317
Phone 253-765-1713
Mailing address
7804 Yakima AveTacoma, WA 98408-5317
Phone 253-765-1713
Authorized official
Tina Vaughn
Director
2532820262
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