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NPI Code Detail

MEDICARE: OLALLA RECOVERY CENTERS

MEDICARE: OLALLA RECOVERY CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility012089WA

General Provider Information

NPI Number : 1609984681
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLALLA RECOVERY CENTERS
Provider Business Mailing Address
First Line : 12851 LALA COVE LN SE
Second Line :
City : OLALLA
State : WA
Zip : 98359-9664
Country : US
Telephone Number : 253-851-6201
Fax Number : 253-857-3993
Provider Business Practice Location Address
First Line : 12851 LALA COVE LN SE
Second Line :
City : OLALLA
State : WA
Zip : 98359-9664
Country : US
Telephone Number : 253-851-6201
Fax Number : 253-857-3993
Authorized Official
Title or Position : ADMISSION BILLING SPECIALIST
Name : MS. PARIS LYNN HONSOWETZ
Credential :
Telephone Number : 253-857-6101
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1295219897 — MRS. PEPER OWENS-BROWN MSW, CDPT
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993
1225512833 — MS. KATHARINE MARIE BENJAMIN BS, SUDP
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993
1720562325 — MR. BUDDY JOE BASSETT CDP
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993
1922582535 — KELLY ELIZABETH SKORE BA, CDP
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993
1225512817 — LOIS WEST
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993
1750865341 — CATHLEEN MARIE HUGHES CDP, NCAC II
Practice Location Address:
12850 LALA COVE LN SE
OLALLA, WA
98359-9664
Practice Phone: 253-857-6201
Practice Fax: 253-857-3993

Directions to “OLALLA RECOVERY CENTERS ” Practice Location

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