Organization
PNW AGING SPECIALTY SERVICES, LLC
Active
Other names
PNW Aging
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH YOURCHEK CNA (OWNER/ADMINISTRATOR)
(503) 488-0318
Entity
Organization
Contact information
Practice address
7720 NE VANCOUVER MALL DR STE 110, VANCOUVER, WA 98662-7918
(360) 883-3569
(360) 883-3568
Mailing address
7720 NE VANCOUVER MALL DR STE 110, VANCOUVER, WA 98662-7918
(360) 883-3569
(360) 883-3568
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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