Individual provider · Type 1 NPI

Jody Lyn Genuard, NC10062045

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lakewood, WA

NPI number 1790038420 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Call (253) 298-9141 Map

Mailing address

9330 59th Avenue Southwest
Lakewood, WA 98499

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNC 10062045 (WA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

907 other providers at this address

About NPI 1790038420

Jody Lyn Genuard, NC10062045's National Provider Identifier is 1790038420, issued on Oct 18, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lakewood, WA. The record was last updated on Oct 18, 2012.