Organization
EAST TO WEST AGING SERVICES & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA VENCKUS (OWNER)
(540) 243-8152
Entity
Organization
Contact information
Practice address
1947 N PRAIRIE LN UNIT 103, LYNDEN, WA 98264-9252
(434) 907-0136
Mailing address
1947 N PRAIRIE LN UNIT 103, LYNDEN, WA 98264-9252
(564) 243-8152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
11/05/2024
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