Organization
LINDEN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA LEVANEN (ADMINISTRATOR)
(360) 355-3617
Entity
Organization
Contact information
Practice address
402 SE 1ST STREET, WINLOCK, WA 98596
(360) 355-3617
Mailing address
PO BOX 999, TOLEDO, WA 98591-0999
(360) 355-3617
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/20/2024
Last updated
10/08/2024
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