Provider Demographics
NPI:1437654928
Name:HOUSING RESOURCE CENTER OF LEWIS COUNTY
Entity Type:Organization
Organization Name:HOUSING RESOURCE CENTER OF LEWIS COUNTY
Other - Org Name:LEWIS COUNTY SHELTER PROGRAM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-736-5140
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-0120
Mailing Address - Country:US
Mailing Address - Phone:360-736-5140
Mailing Address - Fax:360-736-7169
Practice Address - Street 1:621 S DIAMOND ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-3817
Practice Address - Country:US
Practice Address - Phone:360-736-5140
Practice Address - Fax:360-736-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management