Organization
WASHINGTON CARE AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO TANTOCO LPN (PROVIDER/OWNER)
(206) 801-7174
Entity
Organization
Contact information
Practice address
16603 190TH AVE SE, RENTON, WA 98058-0814
(425) 282-4127
(206) 801-7470
Mailing address
147 NW 183RD ST, SHORELINE, WA 98177-3439
(206) 801-7174
(206) 801-7470
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
750929
WA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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