Organization
RE-ESTABLISHING HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIS DEVON MALLOY (EXECUTIVE OFFICER)
(253) 495-3983
Entity
Organization
Contact information
Practice address
1947 S SPRAGUE AVE, TACOMA, WA 98405-2814
(253) 495-3983
Mailing address
1947 S SPRAGUE AVE, TACOMA, WA 98405-2814
(253) 495-3983
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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