Organization
LOURDES HEALTH NETWORK
Active
Parent organization
ASCENSION HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. JOSE A. MNEDEZ M.S. (RESIDENTIAL SERVICES CASE MANAGER)
(509) 303-8422
Entity
Organization
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Mailing address
207 CANYON DR, PROSSER, WA 99350-1009
(509) 303-8422
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
602-813-810
WA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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