Organization
SENIOR LIFE RESOURCES NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT BAYNES (EXECUTIVE DIRECTOR)
(509) 735-1911
Entity
Organization
Contact information
Practice address
8656 W GAGE BLVD, SUITE 301, KENNEWICK, WA 99336-7145
(509) 735-1911
Mailing address
8656 W GAGE BLVD, SUITE 301, KENNEWICK, WA 99336-7145
(509) 735-1911
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000434
WA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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