Organization
HIGHLINE MEDICAL CENTER
Active
Other names
Highline Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN BONNER RN, BSN (DIRECTOR)
(206) 439-9095
Entity
Organization
Contact information
Practice address
16255 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 439-9095
(206) 433-1031
Mailing address
PO BOX 48279, SEATTLE, WA 98148-0279
(206) 439-9095
(206) 433-1031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
15318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15318
LICENSE
WA
05
—
9035817
—
WA
01
—
9038613
MCD DME FOR SUPPLIES
WA
Enumeration date
10/02/2006
Last updated
12/16/2015
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