IndividualActive
Holly Cordero
NPI 1992149777 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Spokane Valley, WA
Provider details
- NPI number
- 1992149777
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 364500 (WA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 364500 (WA)
Residential Treatment Facilities
Practice location
13224 E Tall Tree Rd
Spokane Valley, WA 99216-2411
Phone: (509) 924-1506
Approximate (ZIP-level) locationGet directions
Mailing address
13224 E Tall Tree Rd
Spokane Valley, WA 99216-2411
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2013-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.