| Greenacres Residential Care , Llc | |
|
17927 E Appleway Ave Spokane Valley WA 99016-9302 | |
| (509) 200-1455 | |
| Not Available |
| Full Name | Greenacres Residential Care , Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17927 E Appleway Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Edith Sembeka Corson (CEO) |
| Authorized Official Contact | 5092001455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenacres Residential Care , Llc 23033 E Broadway Ave Liberty Lake WA 99019-7505 Ph: (509) 200-1455 | Greenacres Residential Care , Llc 17927 E Appleway Ave Spokane Valley WA 99016-9302 Ph: (509) 200-1455 |
| NPI Number | 1073226700 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073226700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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