# LIFE WORKS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Residential Resources
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538409826
- **Authorized official:** MRS. MARTHA M JOHNSON (CEO)
- **Authorized official phone:** (360) 577-9093

## Contact information

- **Practice address:** 906 NEW YORK ST, LONGVIEW, WA 98632-4132
- **Practice address phone:** (360) 577-9093
- **Practice address fax:** (360) 577-9137
- **Mailing address:** 906 NEW YORK ST, LONGVIEW, WA 98632-4132
- **Mailing address phone:** (360) 577-9093
- **Mailing address fax:** (360) 577-9137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 601149791 | WA | Yes |

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 02/22/2013
