Organization
ENRICHIV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLINE PHAM (MEMBER)
(541) 870-0146
Entity
Organization
Contact information
Practice address
16 SW 9TH ST, BATTLE GROUND, WA 98604-3126
(541) 870-0146
Mailing address
PO BOX 336, BRUSH PRAIRIE, WA 98606-0336
(541) 870-0146
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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