Organization
HORSE HERITAGE EDUCATIONAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA WELLHAUSEN (DIRECTOTR)
(509) 844-2556
Entity
Organization
Contact information
Practice address
3150 CHURCH RD, VALLEY, WA 99181-9756
(509) 844-2556
Mailing address
PO BOX 48, VALLEY, WA 99181-0048
(509) 844-2556
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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