Organization Name: | AGING STEWARDSHIP LLC |
NPI Number: | 1043616659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUTTA E ATAIE (DIRECTOR) |
Mailing Address: | 18017 Vashon Hwy Sw Vashon |
State: | WA US |
Postal Code: | 980705205 |
Phone Number: | 2069413851 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW 60152875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |