Organization
VANCOUVER HOME HEALTH CARE AGENCY LLC
Active
Parent organization
VANCOUVER HOME HEALTH CARE AGENCY LLC
Other names
Vancouver Home Health Care Agency, Vancouver Home Health Care Agency LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANCOUVER HOME HEALTH CARE AGENCY LLC
Authorized official
MR. RAYON RAYMOND (ADMINISTRATOR)
(360) 975-7070
Entity
Organization
Contact information
Practice address
8885 SW CANYON RD STE 123, PORTLAND, OR 97225-3455
(503) 360-0464
(360) 975-4306
Mailing address
201 NE PARK PLAZA DR STE 200, VANCOUVER, WA 98684-5871
(360) 975-7070
(360) 975-4306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346897287
PRIVATE
OR
Enumeration date
08/26/2019
Last updated
08/08/2023
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