Individual provider · Type 1 NPI
Vladimir Kuksenko
Physical Disabilities Residential Treatment Facility · Ferndale, WA
NPI number
1003362328
Active
Practice location
1958 Eaton Ave
Ferndale, WA 98248-9709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 60525301 (WA) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1003362328
Vladimir Kuksenko's National Provider Identifier is 1003362328, issued on Aug 28, 2016. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Ferndale, WA. The record was last updated on Aug 28, 2016.