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Contact Information

FRESH START LLC
1752 STATE HWY 508
ONALASKA, WA98570
 Phone: 360-978-4186
 Fax: 360-978-4186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for FRESH START LLC

NPI Number 1215264965
LBN Legal business name FRESH START LLC
Authorized official LARRY MEADE - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2009
Last updated 11/17/2009 - About 17 years ago
Identifiers
WA License # CP00005297
WA License # RC00047372
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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