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Organization

MY SERVICE MIND

Active
Other names
Angel of My Service Mind
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MANDY H MA (EXECUTIVE DIRECTOR)
(253) 584-5615
Entity
Organization

Contact information

Practice address
10714 114TH AVE SW, TACOMA, WA 98498-1467
(253) 584-5615
(253) 588-3318
Mailing address
11016 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3514
(253) 584-5615
(253) 588-3318

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
WA

Other

Enumeration date
02/23/2007
Last updated
07/21/2022
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