Provider Demographics
NPI:1235610023
Name:SHARE AND CARE HOUSE
Entity Type:Organization
Organization Name:SHARE AND CARE HOUSE
Other - Org Name:SHARE & CARE HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMBLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-840-3402
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-0072
Mailing Address - Country:US
Mailing Address - Phone:253-840-3402
Mailing Address - Fax:253-840-3401
Practice Address - Street 1:702 23RD AVE SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4661
Practice Address - Country:US
Practice Address - Phone:253-840-3402
Practice Address - Fax:253-840-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health