Organization
IMMACULATE INDEPENDENT LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULATE NABAWE (PRESIDENT)
(206) 694-9068
Entity
Organization
Contact information
Practice address
1615 19TH STREET, SUITE A225, SEATTLE, WA 98122-7508
(206) 694-9068
Mailing address
1615 19TH AVE APT A225, SEATTLE, WA 98122-7508
(206) 694-9068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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