Provider Demographics
NPI:1962915389
Name:BABY NEST LLC
Entity type:Organization
Organization Name:BABY NEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTA
Authorized Official - Suffix:
Authorized Official - Credentials:CD, AAHCC
Authorized Official - Phone:360-525-3432
Mailing Address - Street 1:132 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2621
Mailing Address - Country:US
Mailing Address - Phone:360-525-3432
Mailing Address - Fax:
Practice Address - Street 1:132 W 23RD ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2621
Practice Address - Country:US
Practice Address - Phone:360-525-3432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604-132-924261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service