SC
SOUTHLAKE CLINIC INC PS
Adult Day Care
OIG CLEARNPI VERIFIED
Location
RENTON, WA
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1043368426
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMARIANNE LARSON
TitleDIRECTOR OF OPERATIONS
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