PUGET SOUND SENIOR PSYCHOLOGY LLC NPI 1053769844

NPI Information

PUGET SOUND SENIOR PSYCHOLOGY, LLC is an adult care home custodial care facility in Vancouver, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PUGET SOUND SENIOR PSYCHOLOGY, LLC NPI is 1053769844. The provider is registered as an organization entity type.

The provider's business location address is:

9340 NE 76TH ST
VANCOUVER, WA
ZIP 98662-721
Phone: (360) 253-4912
Fax: (360) 253-5170

The provider's authorized official is David Agnor .
The authorized official title is Executive Director and has the following contact phone number (360) 253-4912.

The enumeration date for this NPI number is 6/2/2016 and was last updated on 6/2/2016.

Taxonomy Codes

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Other Identifiers

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