# CHILDREN' S COUNTRY HOME

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

## Provider details

- **NPI number:** 1386161289
- **Authorized official:** MS. DIANE KOLB RD,CD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (425) 806-9453

## Contact information

- **Practice address:** 14643 NE 166TH ST, WOODINVILLE, WA 98072-9013
- **Practice address phone:** (425) 806-9453
- **Practice address fax:** (425) 485-1527
- **Mailing address:** 14643 NE 166TH ST, WOODINVILLE, WA 98072-9013
- **Mailing address phone:** (425) 806-9453
- **Mailing address fax:** (425) 485-1527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IHS.FS.00000253 | WA | Yes |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/21/2022