Organization
CASCADIA CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEANNA LYNN HERRING-JENSEN (EXECUTIVE DIRECTOR)
(360) 928-5884
Entity
Organization
Contact information
Practice address
30232 44TH AVE NW, STANWOOD, WA 98292-9605
(360) 928-5884
Mailing address
PO BOX 886, SEDRO WOOLLEY, WA 98284-0036
(360) 928-5884
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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