| Sureguard Llc | |
|
5391 Maxwelton Rd Langley WA 98260-9521 | |
| (713) 703-8642 | |
| Not Available |
| Full Name | Sureguard Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5391 Maxwelton Rd, Langley, Washington |
| Authorized Official Name and Position | Lee Brochstein (EXECUTIVE DIRECTOR OF CORPORATE OPE) |
| Authorized Official Contact | 7137038642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sureguard Llc 5391 Maxwelton Rd Langley WA 98260-9521 Ph: (713) 703-8642 | Sureguard Llc 5391 Maxwelton Rd Langley WA 98260-9521 Ph: (713) 703-8642 |
| NPI Number | 1114795879 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 6709241763 |
|---|---|
| Medicare Enrollment ID | O20240206000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114795879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Water's Edge Family Practice & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Second Street, Langley, WA 98260 Phone: 360-221-1060 Fax: 360-221-1062 |