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Organization

INTERNATIONAL COMMUNITY HEALTH SERVICES

Active
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Other names
Legacy House, ICHS PACE, ICHS at Legacy House, ICHS Healthy Aging & Wellness Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization

Contact information

Practice address
803 S LANE ST, SEATTLE, WA 98104-3044
(206) 788-3759
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251T00000X
PACE Provider Organization
261QA0600X
Adult Day Care Clinic/Center
261QH0100X
Health Service Clinic/Center
310400000X
Assisted Living Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
02/01/2018
Last updated
01/26/2021
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