Organization
LORENE'S PLACE II
Active
Other names
Lorene's Place II
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE T TAYLOR (TREASURER)
(253) 353-6078
Entity
Organization
Contact information
Practice address
11150 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1349
(253) 531-3462
(253) 759-3651
Mailing address
3819 100TH ST SW STE 8A, LAKEWOOD, WA 98499-4477
(253) 759-3650
(253) 759-3651
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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