Organization
EMERALD CITY ENHANCED SERVICES
Active
Other names
Emerald City Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA A JOHNSON (CEO)
(253) 352-0481
Entity
Organization
Contact information
Practice address
11421 PACIFIC HWY SW, LAKEWOOD, WA 98499
(253) 352-0481
(253) 212-0360
Mailing address
PO BOX 39460, LAKEWOOD, WA 98496
(253) 352-0481
(253) 212-0360
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO2225854
—
WA
Enumeration date
04/20/2023
Last updated
05/08/2024
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