OrganizationFern Haven CenterCounselorBehavioral Health & Social Service ProvidersPractice Address5721 Libby Rd NE, Olympia, WA 98506-1929(360) 754-1600PECOS EnrollmentBased on the most recent information from CMS, provider Fern Haven Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114044690Provider TypeOrganizationFull NameFern Haven CenterSubpartNoEnumeration Date3/22/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address5721 Libby Rd NE, Olympia, WA 98506-1929Phone(360) 754-1600Fax(360) 754-4452Mailing LocationMailing Address5721 Libby Rd NE, Olympia, WA 98506-1929Phone(360) 754-1600Fax(360) 754-4452Authorized OfficialNameDavis, Rod (Director)Phone(360) 754-1600Provider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseRC00046950Washington