| NPI | 1063294619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATOU K JOBE Provider 206-554-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-08-15 |