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Organization

A PLACE TO CALL HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE JODENE SIMMONS (OWNER ARNP)
(360) 931-1373
Entity
Organization

Contact information

Practice address
14802 NE 117TH CIR, VANCOUVER, WA 98682-1912
(360) 931-1373
(360) 882-1633
Mailing address
14802 NE 117TH CIR, VANCOUVER, WA 98682-1912
(360) 931-1373
(360) 882-1633

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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