Organization
PAMMYS HOME HEALTH CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY D GRAY (CO-OWNER/MANAGER)
(253) 375-6346
Entity
Organization
Contact information
Practice address
19819 17TH AVENUE CT E, SPANAWAY, WA 98387-1813
(253) 375-6346
Mailing address
19819 17TH AVENUE CT E, SPANAWAY, WA 98387-1813
(253) 375-6346
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120351415
MILITARY DOD NUMBER
—
Enumeration date
01/15/2021
Last updated
03/01/2021
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