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Contact Information

THE CAMELOT SOCIETY
26509 N.E. VIRGINIA ST.
DUVALL, WA98019
 Phone: 425-481-5853
 Fax: 425-481-5763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for THE CAMELOT SOCIETY

NPI Number 1538377064
LBN Legal business name THE CAMELOT SOCIETY
Authorized official AUTUMN CALKINS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA Other 4966800 ICFMR GROUP HOME
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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