| NPI | 1538706890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELLEY P WORMLEY Owner/Provider 206-300-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-03-11 |