# POPE'S KIDS PLACE

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

## Provider details

- **NPI number:** 1790914109
- **Authorized official:** ANGELA DICKSON (HR)
- **Authorized official phone:** (360) 736-9178

## Contact information

- **Practice address:** 230 WASHINGTON WAY, CENTRALIA, WA 98531-9325
- **Practice address phone:** (360) 736-9178
- **Practice address fax:** (360) 736-8312
- **Mailing address:** 230 WASHINGTON WAY, CENTRALIA, WA 98531-9325
- **Mailing address phone:** (360) 736-9178
- **Mailing address fax:** (360) 736-8312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 385H00000X | Respite Care | IHS.FS.60083889 | WA | — |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 11/21/2022