Organization
GENERATIONAL HEALTH CORPORATION
Active
Other names
The Young House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTA RENE YOUNG RN (PROVIDER)
(360) 910-8919
Entity
Organization
Contact information
Practice address
8717 FOREST AVE SW, LAKEWOOD, WA 98498-3515
(360) 910-8919
(253) 507-8773
Mailing address
8717 FOREST AVE SW, LAKEWOOD, WA 98498-3515
(360) 910-8919
(253) 507-8773
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755773
—
WA
Enumeration date
12/01/2022
Last updated
12/01/2022
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