Organization
ENVISION HOSPICE OF WASHINGTON LLC
Active
Other names
Envision Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETERSEN (CORPORATE DIRECTOR OF COMPLIANCE)
(801) 885-8275
Entity
Organization
Contact information
Practice address
181 S 333RD ST STE C120, FEDERAL WAY, WA 98003-7363
(360) 350-4875
Mailing address
181 S 333RD ST STE C120, FEDERAL WAY, WA 98003-7363
(360) 350-4875
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39033384
—
WA
Enumeration date
02/21/2019
Last updated
07/15/2024
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