IndividualActive
Ann Jackieline Wainaina
NPI 1497564108 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lacey, WA
Provider details
- NPI number
- 1497564108
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6926 5th Ct Se
Lacey, WA 98503-1416
Phone: (425) 524-7471
Approximate (ZIP-level) locationGet directions
Mailing address
6926 5th Ct Se
Lacey, WA 98503-1416
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.