Organization
GRAND PARK, LLC
Active
Organization
GRAND PARK, LLC
Active
Other names
Cascade Park Active Day
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE RYAN MSW (PROGRAM ADMINISTRATOR)
(253) 627-9990
Entity
Organization
Contact information
Practice address
246 ST HELENS AVE, TACOMA, WA 98402-2522
(253) 627-9990
(253) 680-1961
Mailing address
246 ST HELENS AVE, TACOMA, WA 98402-2522
(253) 627-9990
(253) 680-1961
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
BH1251
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570343
—
WA
Enumeration date
03/12/2014
Last updated
03/12/2014
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