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Organization
THE ARC OF SOUTHWEST WASHINGTON
Active
Organization
THE ARC OF SOUTHWEST WASHINGTON
Active
Other names
PRIDE for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CRAIG ANGELO (EXECUTIVE DIRECTOR)
(360) 254-1562
Entity
Organization
Contact information
Practice address
101 E 8TH STREET, STE 220, VANCOUVER, WA 98660
(360) 254-1562
(360) 759-4921
Mailing address
P.O. BOX 2608, VANCOUVER, WA 98668
(360) 254-1562
(360) 759-4921
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
601138292
WA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026234
—
WA
05
—
7104771
—
WA
Enumeration date
05/23/2007
Last updated
05/31/2024
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