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Organization

DENALI CARE SERVICES, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENI IERUSALEMA MAVAEGA (CO-OWNER)
(907) 297-8942
Entity
Organization

Contact information

Practice address
31620 23RD AVE S # 302, FEDERAL WAY, WA 98003-5064
(206) 592-2756
(206) 238-9450
Mailing address
31620 23RD AVE S # 302, FEDERAL WAY, WA 98003-5064
(206) 592-2756
(206) 238-9450

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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