Organization
DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC
Active
Organization
DUNGARVIN WASHINGTON SUPPORTED LIVING, LLC
Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 789-5906
Entity
Organization
Contact information
Practice address
528 E SPOKANE FALLS BLVD STE 504, SPOKANE, WA 99202-5050
(509) 328-2740
(509) 789-3323
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/04/2013
Last updated
10/08/2024
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