Healthcare Provider Details

I. General information

NPI: 1659297935
Provider Name (Legal Business Name): SLATE FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 2ND ST SE
YELM WA
98597-7638
US

IV. Provider business mailing address

508 2ND ST SE
YELM WA
98597-7638
US

V. Phone/Fax

Practice location:
  • Phone: 360-919-4744
  • Fax: 506-901-4991
Mailing address:
  • Phone: 360-919-4744
  • Fax: 506-901-4991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE LEANN FIERRO
Title or Position: OWNER & CHIEF EXECUTIVE OFFICER (CE
Credential: BSHS
Phone: 360-464-8656