NPI 1790992683
The Camelot Society
Practice location
- Address
- 26511 NE Virginia St, Duvall, WA 98019-8461
- Phone
- (425) 481-5853
- Fax
- (425) 481-5763
- Mailing address
- 18606 Bothell Way NE, Bothell, WA 98011-1929
Authorised official
- Name
- Autumn L. Calkins
- Title
- Executive Director
- Phone
- (425) 481-5853
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1790992683
- Entity type
- Organization
- NPI issued
- 17 May 2007
- Record last updated
- 22 Aug 2020
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.