Organization
ST PETER HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WACHUKA WAITHAKA NAC (BUSINESS DIRECTOR)
(253) 341-9642
Entity
Organization
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 109, LAKEWOOD, WA 98499-1300
(253) 433-3908
(253) 267-0358
Mailing address
10828 GRAVELLY LAKE DR SW STE 109, LAKEWOOD, WA 98499-1300
(253) 433-3908
(253) 267-0358
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376K00000X
Nurse's Aide
Primary
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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