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The Camelot Society
Intellectual Disabilities Intermediate Care Facility in Lake Forest Park, Washington
NPI 1811104763

The Camelot Society is a Intellectual Disabilities Intermediate Care Facility based in Bothell, WA. The Camelot Society practices in Lake Forest Park, WA. The NPI Number for The Camelot Society is 1811104763 and holds a License No. (Washington).

The current practice location address for The Camelot Society is 5027 Ne 188Th St, Lake Forest Park, WA and can be reached out via phone at 425-481-5853 and via fax at 425-481-5763.

Location: 5027 Ne 188Th St, Lake Forest Park, WA, 98011-1929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811104763
Provider Name
The Camelot Society
Credential
Provider Entity Type
Organization
Address
5027 Ne 188Th St, Lake Forest Park, WA, 98011-1929
Phone Number
425-481-5853
Fax Number
425-481-5763
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4963203 01 WA ICFMR GROUP HOME
institution
Provider Business Practice Location Address Details
Address
5027 Ne 188Th St
City
Lake Forest Park
State
Washington
Zip
98155-3012
Phone Number
425-481-5853
Fax Number
425-481-5763
person
Provider Business Mailing Address Details
Address
5027 Ne 188Th St
City
Lake Forest Park
State
Washington
Zip
98155-3012
Phone Number
425-481-5853
Fax Number
425-481-5763
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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