National Provider Identifier Database

THE CAMELOT SOCIETY
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

THE CAMELOT SOCIETY
26511 NE VIRGINIA ST
DUVALL, WA98019-8461
Phone: 425-481-5853
Fax: 425-481-5763
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for THE CAMELOT SOCIETY

NPI Number 1790992683
Legal business name
LBN
THE CAMELOT SOCIETY
Authorized official AUTUMN CALKINS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Other: 4966909 ICFMR GROUP HOME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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