Grand Park, Llc

NPI 1033535117 - Clinic/Center - 261QA0600X

NPI Details
NPI 1033535117
Enumeration Date 03/12/2014
Last Updated 03/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JANELLE JANELLE
Position PROGRAM ADMINISTRATOR
Phone (253) 627-9990
Fax (253) 680-1961
Practice Location
246 ST HELENS AVE
TACOMA WA, 98402-2522, US
Phone (253) 627-9990
Fax (253) 680-1961
Business Location
246 ST HELENS AVE
TACOMA WA, 98402-2522, US
Phone (253) 627-9990
Fax (253) 680-1961
Toxanomy
Taxonomy Code 261QA0600X
License State Washington
License Number BH1251
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According to our database, Grand Park, Llc NPI is 1033535117, taxonomy code is 261QA0600X and license number is BH1251, license state is located at Washington. Grand Park, Llc physically located at 246 St Helens Ave, Tacoma WA, 98402-2522. NPI Number 1033115704 has the healthcare provider type.

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1033535117 NPI number is provided on an as is basis without warranty of any kind. 1033535117 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Park, Llc are for informational purposes only.