# SUPPLEMENTAL HEALTHCARE

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

## Provider details

- **NPI number:** 1932487535
- **Authorized official:** MR. JAMES LORENCE (RECRUITING COORDINATOR)
- **Authorized official phone:** (866) 835-8091

## Contact information

- **Practice address:** 1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
- **Practice address phone:** (866) 835-8091
- **Practice address fax:** (888) 835-8091
- **Mailing address:** 1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
- **Mailing address phone:** (866) 835-8091
- **Mailing address fax:** (888) 835-8091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | P160082801 | WA | Yes |

## Other

- **Enumeration date:** 07/30/2011
- **Last updated:** 07/30/2011