Organization
COMMUNITY INTEGRATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN CARDWELL (PROGRAM ADMINISTRATOR)
(253) 952-0502
Entity
Organization
Contact information
Practice address
33530 1ST WAY S STE 104, FEDERAL WAY, WA 98003-7332
(253) 952-0502
(253) 952-0512
Mailing address
33530 1ST WAY S STE 104, FEDERAL WAY, WA 98003-7332
(253) 952-0502
(253) 952-0512
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
602 287 094
WA
Other
Enumeration date
02/20/2013
Last updated
10/31/2024
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