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Organization

CAREGIVERS HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERYLE A BROWN (ACCOUNTING ADMINISTRATOR)
(360) 457-1644
Entity
Organization

Contact information

Practice address
3228 E HIGHWAY 101, PORT ANGELES, WA 98362-9073
(360) 457-1644
(360) 457-1644
Mailing address
PO BOX 3157, PORT ANGELES, WA 98362-0341
(360) 457-1644
(360) 457-7186

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHS.FS.00000244
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
091936
WA
05
810134
WA
Enumeration date
10/26/2012
Last updated
10/26/2012
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