# SOFAVI HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1861059347
- **Authorized official:** STACEY SUNDE (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (206) 402-6628

## Contact information

- **Practice address:** 1752 NW MARKET ST \# 4208, SEATTLE, WA 98107-5264
- **Practice address phone:** (206) 402-6628
- **Practice address fax:** (206) 789-4499
- **Mailing address:** 1752 NW MARKET ST \# 4208, SEATTLE, WA 98107-5264
- **Mailing address phone:** (206) 402-6628
- **Mailing address fax:** (206) 789-4499

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 05/21/2019