Organization
SPECIAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY COOMER (CEO)
(425) 333-4114
Entity
Organization
Contact information
Practice address
4121 MCKINLEY AVENUE, CARNATION, WA 98014
(425) 333-4114
(425) 333-4115
Mailing address
PO BOX 1026, CARNATION, WA 98014-1026
(425) 333-4114
(425) 333-4115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000074
WA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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