Provider Demographics
NPI:1083264493
Name:SKCAC INDUSTRIES AND EMPLOYMENT SERVICES
Entity Type:Organization
Organization Name:SKCAC INDUSTRIES AND EMPLOYMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-395-1240
Mailing Address - Street 1:19731 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-1117
Mailing Address - Country:US
Mailing Address - Phone:253-395-1240
Mailing Address - Fax:253-395-1243
Practice Address - Street 1:19731 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1117
Practice Address - Country:US
Practice Address - Phone:253-395-1240
Practice Address - Fax:253-395-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management