Staloco House LLC

NPI #1053163618 in Kent, Washington

Provider Information

NPI Number
1053163618
Entity Type
Organization
Organization Name
Staloco House LLC
Primary Specialty
Case Management
Enumeration Date
Apr 4, 2024
Last Updated
Apr 4, 2024

Practice Location

Address
11403 SE 208TH ST
City
Kent
ZIP Code
98031-1659
Phone
(206) 649-0234

Authorized Official

Name
STACEY MERTES
Title
OPERATOR
Phone
(206) 649-0234

Specialties & Taxonomy Codes

Specialty
Case Management

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