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Organization
EVERETT TRANSITIONAL CARE SERVICES
Active
Organization
EVERETT TRANSITIONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCRIVENS (CEO)
(425) 330-3671
Entity
Organization
Contact information
Practice address
916 PACIFIC AVE FL 4, EVERETT, WA 98201-4147
(425) 382-2800
(425) 740-0426
Mailing address
PO BOX 13700, MILL CREEK, WA 98082-1700
(425) 332-4475
(425) 740-0426
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1245
WA
314000000X
Skilled Nursing Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112454
—
WA
05
—
4116171
—
WA
01
—
505533
MEDICARE 6/5/20
WA
Enumeration date
10/10/2006
Last updated
07/09/2020
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