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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYL A TKACHYK (PRESIDENT)
(425) 678-8400
Entity
Organization

Contact information

Practice address
20201 26TH DR SE, BOTHELL, WA 98012-7602
(425) 678-8400
(425) 678-8351
Mailing address
2020 MALTBY RD STE 7, BOTHELL, WA 98021-8669
(425) 678-8400

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHS.FS.60219953
WA

Other

Enumeration date
02/21/2012
Last updated
03/12/2012
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