| Take Aim Independent Living Solutions, Llc | |
|
5508 Poplar Pl Ferndale WA 98248-8904 | |
| (360) 305-2251 | |
| Not Available |
| Full Name | Take Aim Independent Living Solutions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5508 Poplar Pl, Ferndale, Washington |
| Authorized Official Name and Position | Stacie Ann Owen (DIRECTOR) |
| Authorized Official Contact | 3503052251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Take Aim Independent Living Solutions, Llc 5508 Poplar Pl Ferndale WA 98248-8904 Ph: (360) 305-2251 | Take Aim Independent Living Solutions, Llc 5508 Poplar Pl Ferndale WA 98248-8904 Ph: (360) 305-2251 |
| NPI Number | 1912368341 |
|---|---|
| Provider Enumeration Date | 03/12/2016 |
| Last Update Date | 03/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912368341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SC60593114 (Washington) | Primary |
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