Provider Demographics
NPI:1437850138
Name:MUCKLESHOOT HOUSING
Entity Type:Organization
Organization Name:MUCKLESHOOT HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUATO'O
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-876-2862
Mailing Address - Street 1:38037 158TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-9428
Mailing Address - Country:US
Mailing Address - Phone:253-876-3057
Mailing Address - Fax:
Practice Address - Street 1:38037 158TH AVE SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-9428
Practice Address - Country:US
Practice Address - Phone:253-876-3057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management