| Rose House | |
|
1419 Yakima Ave Tacoma WA 98405-4458 | |
| (253) 272-1759 | |
| (253) 627-1784 |
| Full Name | Rose House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1419 Yakima Ave, Tacoma, Washington |
| Authorized Official Name and Position | Kenneth Gibson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2532721759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose House 1419 Yakima Ave Tacoma WA 98405-4458 Ph: (253) 272-1759 | Rose House 1419 Yakima Ave Tacoma WA 98405-4458 Ph: (253) 272-1759 |
| NPI Number | 1477784809 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477784809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 602412772 (Washington) | Primary |
| 251V00000X | Voluntary Or Charitable | 602412772 (Washington) | Secondary |
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