# LOURDES CULLUM HOUSE

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

## Provider details

- **NPI number:** 1700475886
- **Authorized official:** ROSA GARCIA (RESIDENTIAL COUNSELOR)
- **Authorized official phone:** (509) 761-2081

## Contact information

- **Practice address:** 208 CULLUM AVE, RICHLAND, WA 99352-4534
- **Practice address phone:** (509) 947-6055
- **Mailing address:** 3523 W HOOD AVE APT A104, KENNEWICK, WA 99336-2782
- **Mailing address phone:** (509) 761-2081

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021