Provider Demographics
NPI:1528536315
Name:BRITON HOUSE INCORPORATED
Entity Type:Organization
Organization Name:BRITON HOUSE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:509-301-2442
Mailing Address - Street 1:8226 MARINE DR
Mailing Address - Street 2:
Mailing Address - City:TULALIP
Mailing Address - State:WA
Mailing Address - Zip Code:98271-9632
Mailing Address - Country:US
Mailing Address - Phone:509-301-2442
Mailing Address - Fax:360-659-0652
Practice Address - Street 1:106 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1547
Practice Address - Country:US
Practice Address - Phone:509-529-1892
Practice Address - Fax:509-522-6602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITON HOUSE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty