Organization
LIFE WORKS
Active
Other names
Residential Resources
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA M JOHNSON (CEO)
(360) 577-9093
Entity
Organization
Contact information
Practice address
906 NEW YORK ST, LONGVIEW, WA 98632-4132
(360) 577-9093
(360) 577-9137
Mailing address
906 NEW YORK ST, LONGVIEW, WA 98632-4132
(360) 577-9093
(360) 577-9137
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
601149791
WA
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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