Organization
PENINSULA HOMECARE COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIPPI WATERS (EXECUTIVE DIRECTOR)
(360) 385-9664
Entity
Organization
Contact information
Practice address
1017B WATER ST, PORT TOWNSEND, WA 98368-6705
(360) 385-9664
(360) 385-1661
Mailing address
PO BOX 468, PORT TOWNSEND, WA 98368-0468
(360) 385-9664
(360) 385-1661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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