Provider Demographics
NPI:1760956213
Name:OMNI MANA SERVICE
Entity Type:Organization
Organization Name:OMNI MANA SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANAKILA
Authorized Official - Middle Name:DENAI
Authorized Official - Last Name:TORNGA
Authorized Official - Suffix:
Authorized Official - Credentials:CG 60164982
Authorized Official - Phone:206-294-0092
Mailing Address - Street 1:17421 STATE ROUTE 530 NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5391
Mailing Address - Country:US
Mailing Address - Phone:425-343-9971
Mailing Address - Fax:
Practice Address - Street 1:17421 STATE ROUTE 530 NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-5391
Practice Address - Country:US
Practice Address - Phone:425-343-9971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management