Organization
RAINSHADOW HOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON L WATERS RN (PRESIDENT/ADMINISTRATOR)
(360) 681-6206
Entity
Organization
Contact information
Practice address
1001 E WASHINGTON ST, SUITE 7, SEQUIM, WA 98382-3575
(360) 681-6206
(360) 681-6208
Mailing address
1001 E WASHINGTON ST, SUITE 7, SEQUIM, WA 98382-3575
(360) 681-6206
(360) 681-6208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099
BLUE CROSS ID#
WA
05
—
9050618
—
WA
05
—
962384
—
WA
Enumeration date
10/10/2006
Last updated
08/22/2020
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