Provider Demographics
NPI:1972167096
Name:SOCIETY OF ST. VINCENT DE PAUL COUNCIL OF SEATTLE/KING COUNTY
Entity type:Organization
Organization Name:SOCIETY OF ST. VINCENT DE PAUL COUNCIL OF SEATTLE/KING COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRANTS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GORZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-767-9975
Mailing Address - Street 1:5950 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3208
Mailing Address - Country:US
Mailing Address - Phone:206-767-9975
Mailing Address - Fax:
Practice Address - Street 1:5950 4TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3208
Practice Address - Country:US
Practice Address - Phone:206-767-9975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA178-019-275OtherUBI