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Organization

ADVANCED HEALING HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL L THOMAS (FOUNDER/ CEO)
(425) 583-3052
Entity
Organization

Contact information

Practice address
14110 NE 21ST ST STE 1065, BELLEVUE, WA 98007-3719
(425) 333-2242
Mailing address
14110 NE 21ST ST STE 1065, BELLEVUE, WA 98007-3719
(425) 333-2242

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
310400000X
Assisted Living Facility
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
01/25/2024
Last updated
01/25/2024
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