Organization
ICHS PACE
Active
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
803 S LANE ST, SEATTLE, WA 98104-3044
(206) 788-3759
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251T00000X
PACE Provider Organization
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/11/2019
Last updated
03/29/2021
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