Organization
LOURDES CULLUM HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA GARCIA (RESIDENTIAL COUNSELOR)
(509) 761-2081
Entity
Organization
Contact information
Practice address
208 CULLUM AVE, RICHLAND, WA 99352-4534
(509) 947-6055
Mailing address
3523 W HOOD AVE APT A104, KENNEWICK, WA 99336-2782
(509) 761-2081
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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