Provider Demographics
NPI:1467210344
Name:FRUITS OF OUR LABOR LLC
Entity Type:Organization
Organization Name:FRUITS OF OUR LABOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHERYLANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEUMAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-356-8886
Mailing Address - Street 1:14020 108TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15413 1ST AVENUE CT S STE 1F
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4644
Practice Address - Country:US
Practice Address - Phone:253-487-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management