# NORTHSIDE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Home Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205688918
- **Authorized official:** SHERIFF SAMBOU (CEO/OWNER)
- **Authorized official phone:** (425) 515-6010

## Contact information

- **Practice address:** 5031 168TH ST SW STE 150, LYNNWOOD, WA 98037-5717
- **Practice address phone:** (425) 515-6010
- **Practice address fax:** (425) 678-6919
- **Mailing address:** 5031 168TH ST SW STE 150, LYNNWOOD, WA 98037-5717
- **Mailing address phone:** (425) 515-6010
- **Mailing address fax:** (425) 678-6919

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 04/04/2024