| NPI | 1962549154 |
|---|---|
| Doing Business As | CCS LONG TERM CARE SYSTEM |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA IS-247) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-10-15 |