Organization
HEADWAY NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE TUTAAN ANGLE R.N. (MANAGER OWNER)
(206) 380-0042
Entity
Organization
Contact information
Practice address
2130 SHATTUCK AVE SO, RENTON, WA 98055-4244
(425) 271-5319
(425) 271-5319
Mailing address
2130 SHATTUCK AVE SO, RENTON, WA 98055-4244
(425) 271-5319
(425) 271-5319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00117028
WA
311ZA0620X
Adult Care Home Facility
107802
WA
Other
Enumeration date
04/12/2007
Last updated
07/17/2008
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