Organization
COUNTY OF GRANT
Active
Organization
COUNTY OF GRANT
Active
Other names
DIRECTIONS IN COMMUNITY LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL GOODWIN BA (PROGRAM DIRECTOR)
(509) 765-9239
Entity
Organization
Contact information
Practice address
1103 LOWRY ST, MOSES LAKE, WA 98837-3164
(509) 762-1161
(509) 762-6922
Mailing address
1103 LOWRY ST, MOSES LAKE, WA 98837-3164
(509) 762-1161
(509) 762-6922
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012501
—
WA
Enumeration date
10/08/2012
Last updated
06/18/2015
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