Loving Heal Psychiatric Services LLC
Nurse Practitioner, Psych/Mental Health in Des Moines, WA. Organization (NPI-2).
NPI number1982167474
StatusActive
Last updated in NPPESApr 11, 2019
Details
- NPI
- 1982167474
- Entity type
- Organization (NPI-2)
- Legal business name
- Loving Heal Psychiatric Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2019
- Last updated
- Apr 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
22634 10th Ave SDes Moines, WA 98198-6915
Phone 206-235-8113 · Fax 206-653-7300
Mailing address
22634 10th Ave SDes Moines, WA 98198-6915
Phone 206-235-8113 · Fax 206-653-7300
Authorized official
Lakew Adnew
Owner
2062358112
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