Organization
AAA RESIDENTIAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL RICHARD LARSON (CEO)
(253) 261-3999
Entity
Organization
Contact information
Practice address
9027 PACIFIC AVE, SUITE #4, TACOMA, WA 98444-6247
(800) 774-0210
(253) 539-2805
Mailing address
9027 PACIFIC AVE, SUITE #4, TACOMA, WA 98444-6247
(800) 774-0210
(253) 539-2805
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
319658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319658
—
WA
Enumeration date
08/31/2007
Last updated
08/31/2007
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