Organization
NISICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADYS GLADYS JADAGU (OWNER)
(682) 218-4784
Entity
Organization
Contact information
Practice address
1929 NE 100TH CIR, VANCOUVER, WA 98686-1314
(682) 218-4784
Mailing address
1929 NE 100TH CIR, VANCOUVER, WA 98686-1314
(682) 218-4784
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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