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Organization
CHILDREN' S COUNTRY HOME
Active
Organization
CHILDREN' S COUNTRY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KOLB RD,CD (EXECUTIVE DIRECTOR)
(425) 806-9453
Entity
Organization
Contact information
Practice address
14643 NE 166TH ST, WOODINVILLE, WA 98072-9013
(425) 806-9453
(425) 485-1527
Mailing address
14643 NE 166TH ST, WOODINVILLE, WA 98072-9013
(425) 806-9453
(425) 485-1527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHS.FS.00000253
WA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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