Provider Demographics
NPI:1184503872
Name:KLEINE ENTERPRISES
Entity type:Organization
Organization Name:KLEINE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLEINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:360-560-2398
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:WA
Mailing Address - Zip Code:98611-0098
Mailing Address - Country:US
Mailing Address - Phone:360-560-2398
Mailing Address - Fax:360-274-4024
Practice Address - Street 1:420 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:WA
Practice Address - Zip Code:98611-9269
Practice Address - Country:US
Practice Address - Phone:360-274-7944
Practice Address - Fax:360-274-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable