Organization
GREENACRES RESIDENTIAL CARE , LLC
Active
Organization
GREENACRES RESIDENTIAL CARE , LLC
Active
Other names
Greenacres Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH SEMBEKA CORSON PMHNP (CEO)
(509) 200-1455
Entity
Organization
Contact information
Practice address
17927 E APPLEWAY AVE, SPOKANE VALLEY, WA 99016-9302
(509) 200-1455
Mailing address
23033 E BROADWAY AVE, LIBERTY LAKE, WA 99019-7505
(509) 200-1455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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