Organization
SIGNATURE HOSPICE SNOHOMISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KOFSTAD NP (DIVISION PRESIDENT)
(971) 224-2033
Entity
Organization
Contact information
Practice address
1510 140TH AVE NE STE 100, BELLEVUE, WA 98005-4572
(425) 747-7747
Mailing address
25117 SW PARKWAY AVE STE F, WILSONVILLE, OR 97070-9697
(971) 224-2505
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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