| NPI | 1194223412 |
|---|---|
| Doing Business As | ICHS PACE |
| Doing Business As | ICHS HEALTHY AGING & WELLNESS PROGRAM |
| Doing Business As | LEGACY HOUSE |
| Doing Business As | ICHS AT LEGACY HOUSE |
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X |
| 251T00000X PACE Provider Organization | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2021-01-26 |