NPI 1073226700
Greenacres Residential Care , LLC
Practice location
- Address
- 17927 E Appleway Ave, Spokane Valley, WA 99016-9302
- Phone
- (509) 200-1455
- Mailing address
- 23033 E Broadway Ave, Liberty Lake, WA 99019-7505
Authorised official
- Name
- Edith Sembeka Corson
- Title
- Ceo
- Phone
- (509) 200-1455
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1073226700
- Entity type
- Organization
- NPI issued
- 27 Dec 2022
- Record last updated
- 27 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.