Healthcare Provider Details

I. General information

NPI: 1851519524
Provider Name (Legal Business Name): SNO-VALLEY ADULT DAY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 STEPHENS AVE
CARNATION WA
98014
US

IV. Provider business mailing address

PO BOX 96 4610 STEPHENS AVE
CARNATION WA
98014-0096
US

V. Phone/Fax

Practice location:
  • Phone: 425-333-4152
  • Fax: 425-333-4465
Mailing address:
  • Phone: 425-333-4152
  • Fax: 425-333-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA D YEAGER
Title or Position: DIRECTOR
Credential:
Phone: 425-333-4152