NPI 1992243042

Ruth's Home LLC

Organisation Exclusive Provider Organization Cle Elum, WA

Practice location

Address: 304 E 3rd St, Cle Elum, WA 98922-1212
Phone: (509) 304-9618
Mailing address: 2811 Lambert Rd, Cle Elum, WA 98922-9505

Authorised official

Name: Ron Tino Ditomaso
Title: Owner
Phone: (509) 304-9618

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 752404 (WA)

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Registry record

NPI: 1992243042
Entity type: Organization
NPI issued: 9 Feb 2017
Record last updated: 9 Feb 2017

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.