Organization
GREATERLAKES MENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMOS PAXTON BRINKLEY III (LPN)
(253) 861-4610
Entity
Organization
Contact information
Practice address
6614 100TH ST SW, LAKEWOOD, WA 98499-1765
(253) 861-4610
Mailing address
PO BOX 8988, TACOMA, WA 98418-0961
(253) 861-4610
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LPOOO37369
WA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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