# LINDEN HOUSE

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

## Provider details

- **NPI number:** 1710747415
- **Authorized official:** MARITA LEVANEN (ADMINISTRATOR)
- **Authorized official phone:** (360) 355-3617

## Contact information

- **Practice address:** 402 SE 1ST STREET, WINLOCK, WA 98596
- **Practice address phone:** (360) 355-3617
- **Mailing address:** PO BOX 999, TOLEDO, WA 98591-0999
- **Mailing address phone:** (360) 355-3617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 10/08/2024