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Organization

OLYMPIC SENIOR CARE, LLC

Active
Other names
Home Instead Senior Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS KEMP BOUGHNER (OWNER)
(360) 681-2511
Entity
Organization

Contact information

Practice address
675 N 5TH AVE STE 1B, SEQUIM, WA 98382-3066
(360) 681-2511
(360) 681-0350
Mailing address
675 N 5TH AVE STE 1B, SEQUIM, WA 98382-3066
(360) 681-2511
(360) 681-0350

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.00000147
WA

Other

Enumeration date
12/24/2014
Last updated
12/24/2014
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