# MUCKLESHOOT INDIAN TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MUCKLESHOOT INDIAN TRIBE
- **Other names:** Muckleshoot In Home Support, Muckleshoot Elder In Home Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902323819
- **Legal business name:** MUCKLESHOOT INDIAN TRIBE
- **Authorized official:** HARMONY ROEBUCK (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (253) 876-3050

## Contact information

- **Practice address:** 17500 SE 392ND ST, AUBURN, WA 98092-9705
- **Practice address phone:** (253) 876-3050
- **Practice address fax:** (253) 876-2974
- **Mailing address:** 17500 SE 392ND ST, AUBURN, WA 98092-9705
- **Mailing address phone:** (253) 876-3050
- **Mailing address fax:** (253) 876-2974

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/21/2022