Organization Name: | LDS FAMILY SERVICES |
NPI Number: | 1003847187 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK CASEY (AGENCY DIRECTOR) |
Mailing Address: | 1201 Monster Rd Sw Suite 250 Renton |
State: | WA US |
Postal Code: | 980572996 |
Phone Number: | 4252280074 |
Fax Number: | 4252262531 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 600292374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |