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Organization
JG&M CORPORATION
Active
Organization
JG&M CORPORATION
Active
Other names
Nurturing Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE U SLOAN RN (PRESIDENT/ENTITY REPRESENTATIVE)
(360) 771-3712
Entity
Organization
Contact information
Practice address
9600 NE 113TH AVE, VANCOUVER, WA 98662-2258
(360) 771-3712
Mailing address
PO BOX 1008, BRUSH PRAIRIE, WA 98606-1008
(360) 771-3712
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945155
—
WA
05
—
979987
—
WA
Enumeration date
08/28/2013
Last updated
08/28/2013
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