NPI 1558364216

Toutle River Ranch, INC.

Organisation Case Management Agency Longview, WA

Practice location

Address: 907 Douglas St, Longview, WA 98632-2155
Phone: (360) 423-6741
Fax: (360) 501-6510
Mailing address: PO Box 2052 907 Douglas Street, Longview, WA 98632-8179

Authorised official

Name: Patricia Elaine Mansker
Title: Data Coordinator
Phone: (360) 423-6741

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 222 (WA)

Other Case Management providers in Washington →

Registry record

NPI: 1558364216
Entity type: Organization
NPI issued: 24 May 2005
Record last updated: 16 Nov 2011

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.