Organization
HOSPITALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE DABOH (HOME CARE MANAGER)
(206) 399-2809
Entity
Organization
Contact information
Practice address
4800 S 188TH ST STE 210, SEATAC, WA 98188-2978
(206) 966-9000
Mailing address
4800 S 188TH ST STE 210, SEATAC, WA 98188-2978
(206) 966-9000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.60554898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHS.FS.60554898
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/09/2018
Last updated
06/16/2018
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