Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY LYN GENUARD, NC10062045
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · LAKEWOOD, WA
Registration Details
- NPI Number
- 1790038420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2012 (13.508714900639 yrs)
- Last Updated
- Oct 18, 2012
- License
-
NC 10062045 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9330 59TH AVE SWLAKEWOOD, WA, 984992858Browse WA providers · Browse ZIP 98499
- Phone
- 2532989141
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.