Organization
ALLEVA HOME CARE
Active
Other names
Alleva Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISON BORIS SIMONTOV J.D. (EXECUTIVE DIRECTOR)
(206) 957-1365
Entity
Organization
Contact information
Practice address
1511 THIRD AVE, SUITE 308, SEATTLE, WA 98101-1683
(206) 957-1365
(206) 382-4234
Mailing address
1511 THIRD AVE., SUITE 308, SEATTLE, WA 98101-1683
(206) 957-1365
(206) 382-4234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000123
WA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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