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20818 44th Ave W Suite 270 Lynnwood WA 98036-7709 | |
(877) 497-1863 | |
Not Available |
Full Name | |
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Speciality | Home Health |
Location | 20818 44th Ave W, Lynnwood, Washington |
Authorized Official Name and Position | Timothy Whobrey (PROVIDER ENROLLMENT) |
Authorized Official Contact | 5026307249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | 20818 44th Ave W Suite 270 Lynnwood WA 98036-7709 Ph: (877) 497-1863 |
NPI Number | 1861779621 |
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Provider Enumeration Date | 11/08/2011 |
Last Update Date | 11/18/2024 |
Certification Date | 11/18/2024 |
Identifier | Type | State | Issuer |
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1861779621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251E00000X | Home Health | (* (Not Available)) | Primary |
253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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