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Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LORENCE (RECRUITING COORDINATOR)
(866) 835-8091
Entity
Organization
Contact information
Practice address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(866) 835-8091
(888) 835-8091
Mailing address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(866) 835-8091
(888) 835-8091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
P160082801
WA
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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