Organization
VADIS
Active
Organization
VADIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA WENTZ (VICE PRESIDENT OF DEVELOPMENT)
(253) 863-5173
Entity
Organization
Contact information
Practice address
1701 ELM ST E, SUMNER, WA 98390-2112
(253) 863-5173
(253) 863-2040
Mailing address
1701 ELM ST E, SUMNER, WA 98390-2112
(253) 863-5173
(253) 863-2040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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