Organization
BETHANY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTINE BAUGUESS (DIRECTOR OF REVENUE MANAGEMENT)
(425) 332-4475
Entity
Organization
Contact information
Practice address
1902 120TH PL SE STE 203, EVERETT, WA 98208-6292
(425) 338-3000
(425) 740-0426
Mailing address
PO BOX 13700, MILL CREEK, WA 98082-1700
(425) 332-4475
(425) 332-4475
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224744
—
WA
01
—
IHS.FS.60966822
WA STATE DEPT OF HEALTH
WA
Enumeration date
06/17/2021
Last updated
01/23/2023
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