# A PLACE TO CALL HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184340184
- **Authorized official:** MICHELLE JODENE SIMMONS (OWNER ARNP)
- **Authorized official phone:** (360) 931-1373

## Contact information

- **Practice address:** 14802 NE 117TH CIR, VANCOUVER, WA 98682-1912
- **Practice address phone:** (360) 931-1373
- **Practice address fax:** (360) 882-1633
- **Mailing address:** 14802 NE 117TH CIR, VANCOUVER, WA 98682-1912
- **Mailing address phone:** (360) 931-1373
- **Mailing address fax:** (360) 882-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 10/12/2022