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Organization

BESSIE BURTON SULLIVAN HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DOROTHY R GRAINGER RN, MSN, MBA (EXECUTIVE DIRECTOR)
(206) 328-7850
Entity
Organization

Contact information

Practice address
2424 156TH AVE NE, BELLEVUE, WA 98007-3814
(425) 519-1265
(425) 641-1115
Mailing address
1020 E JEFFERSON ST, SEATTLE, WA 98122-5336
(206) 328-7850
(206) 568-8575

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS- 234
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9044389
WA
Enumeration date
06/01/2005
Last updated
11/09/2007
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