Organization
ANSIL A NEW START IN LIFE
Active
Other names
ANSIL
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COLVILLE (PRESIDENT)
(509) 200-2469
Entity
Organization
Contact information
Practice address
2625 W BRUNEAU PL # 136, KENNEWICK, WA 99336-3168
(509) 628-4047
Mailing address
2625 W BRUNEAU PL # 136, KENNEWICK, WA 99336-3168
(509) 628-4047
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604355700
UBI
WA
Enumeration date
09/15/2020
Last updated
09/15/2020
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