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Organization

EAGLE CAP COFFEE LLC

Active
Other names
SYNERGY HomeCare of Tri-Cities
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE JOHANSING (CO-OWNER)
(509) 539-9536
Entity
Organization

Contact information

Practice address
30 S LOUISIANA ST STE 211, KENNEWICK, WA 99336-9003
(509) 572-3972
(509) 572-3968
Mailing address
30 S LOUISIANA ST STE 211, KENNEWICK, WA 99336-9003
(509) 572-3972
(509) 572-3968

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/15/2024
Last updated
02/15/2024
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