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Organization

KENNEDYS PLACE

Active
Other names
LTZ Capitol LLC
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MARIE ZIELASKO (CEO)
(425) 210-3790
Entity
Organization

Contact information

Practice address
1006 8TH ST, MUKILTEO, WA 98275-2011
(425) 210-3790
Mailing address
1027 STATE AVE STE 102, MARYSVILLE, WA 98270-4278
(425) 210-3790

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132700000X
Dietary Manager
133NN1002X
Nutrition Education Nutritionist
171400000X
Health & Wellness Coach
174200000X
Meals Provider
177F00000X
Lodging Provider
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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