Organization
GLENHAVEN ADULT FAMILY HOME MARCIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA MILANOI SHOMPOLE CNA (PROVIDER)
(509) 432-1169
Entity
Organization
Contact information
Practice address
2510 NW PARR DR, PULLMAN, WA 99163-3686
(509) 432-1169
(509) 338-0595
Mailing address
PO BOX 1167, PULLMAN, WA 99163-1167
(509) 432-1169
(509) 338-0595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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