Organization
GOD-S-LAND
Active
Other names
God's Land
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAEANNA LEE CHREST (EXECUTIVE DIRECTOR)
(360) 870-7949
Entity
Organization
Contact information
Practice address
215 LEGION WAY SW, OLYMPIA, WA 98501-1219
(360) 870-7949
Mailing address
4570 AVERY LN SE STE C5114, LACEY, WA 98503-5608
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
11/01/2024
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