NPI 1538409826

Life Works

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Longview, WA

Practice location

Address: 906 New York St, Longview, WA 98632-4132
Phone: (360) 577-9093
Fax: (360) 577-9137

Authorised official

Name: Martha M Johnson
Title: Ceo
Phone: (360) 577-9093

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 601149791 (WA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Washington →

Registry record

NPI: 1538409826
Entity type: Organization
NPI issued: 22 Feb 2013
Record last updated: 22 Feb 2013

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.