# LIFE CARE AT HOME OF WASHINGTON, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063418093
- **Authorized official:** PAM RAU (VP OF FINANACE)
- **Authorized official phone:** (423) 473-5280

## Contact information

- **Practice address:** 505 CEDAR AVE, B-1, MARYSVILLE, WA 98270-4561
- **Practice address phone:** (360) 659-1487
- **Practice address fax:** (360) 659-0726
- **Mailing address:** 3001 KEITH ST NW, P O BOX 3480, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5256
- **Mailing address fax:** (423) 339-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS364 | WA | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 01/29/2013