Organization
KITSAP COUNTY AGING
Active
Parent organization
KITSAP COUNTY
Other names
Kitsap County Division of Aging and Long Term Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KITSAP COUNTY
Authorized official
STACEY ANN SPENCER SMITH M.ED, LMHC, CMHS (ADMINISTRATOR)
(360) 337-5624
Entity
Organization
Contact information
Practice address
1026 SIDNEY AVE STE 105, PORT ORCHARD, WA 98366-4298
(360) 337-5700
(360) 337-5746
Mailing address
614 DIVISION ST # MS -23, PORT ORCHARD, WA 98366-4614
(360) 337-5700
(360) 337-5746
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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