| NPI | 1588236194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNE LATRICE REYNOLDS Owner 206-930-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |