Organization
PUGET SOUND HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON L MAYS (ADMINISTRATOR)
(253) 581-9410
Entity
Organization
Contact information
Practice address
7714 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
(253) 581-9410
(253) 581-9207
Mailing address
7714 BRIDGEPORT WAY W, LAKEWOOD, WA 98499-8380
(253) 581-9410
(253) 581-9207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9039918
—
WA
Enumeration date
06/15/2006
Last updated
10/01/2007
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