Organization
PACIFIC HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERHE TEMESGHEN (MANAGER)
(206) 712-5351
Entity
Organization
Contact information
Practice address
23417 93RD AVE W, EDMONDS, WA 98020-5608
(206) 712-5351
Mailing address
23417 93RD AVE W, EDMONDS, WA 98020-5608
(206) 712-5351
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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