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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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