# DISABLED COMANION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033769153
- **Authorized official:** MR. JOHN ANDREW DAVIDSON ADMINISTRATOR (CEO)
- **Authorized official phone:** (206) 619-1466

## Contact information

- **Practice address:** 24502 98TH AVE S, KENT, WA 98030-0004
- **Practice address phone:** (206) 619-1466
- **Practice address fax:** (253) 246-7198
- **Mailing address:** 24502 98TH AVE S, KENT, WA 98030-0004
- **Mailing address phone:** (206) 619-1466
- **Mailing address fax:** (253) 246-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019