Provider Demographics
NPI:1801373642
Name:EMPLOYMENT ACCESS SERVICES EMPOWERED
Entity Type:Organization
Organization Name:EMPLOYMENT ACCESS SERVICES EMPOWERED
Other - Org Name:EASE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STACCI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DAVIE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/OPERATOR
Authorized Official - Phone:253-590-8079
Mailing Address - Street 1:6709 236TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-9452
Mailing Address - Country:US
Mailing Address - Phone:253-271-7435
Mailing Address - Fax:
Practice Address - Street 1:6709 236TH STREET CT E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-9452
Practice Address - Country:US
Practice Address - Phone:253-271-7435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management