# PUGET SOUND HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1265476881
- **Authorized official:** MRS. SHANNON L MAYS (ADMINISTRATOR)
- **Authorized official phone:** (253) 581-9410

## Contact information

- **Practice address:** 7714 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
- **Practice address phone:** (253) 581-9410
- **Practice address fax:** (253) 581-9207
- **Mailing address:** 7714 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
- **Mailing address phone:** (253) 581-9410
- **Mailing address fax:** (253) 581-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS424 | WA | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/01/2007