MEDICARE: DAY SURGERY COMPANIONS SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251E00000X	Home Health Agency	WA
2	253Z00000X	In Home Supportive Care Agency	WA
3	372600000X	Adult Companion	WA
4	343900000X	Non-emergency Medical Transport (VAN)	WA

General Provider Information

NPI Number	:	1821507252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY SURGERY COMPANIONS SERVICES LLC

Provider Business Mailing Address
First Line	:	3815 S OTHELLO ST STE 100-330
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3510
Country	:	US
Telephone Number	:	206-497-0468
Fax Number	:	206-497-0469

Provider Business Practice Location Address
First Line	:	7743 SEWARD PARK AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-4248
Country	:	US
Telephone Number	:	206-497-0468
Fax Number	:	206-497-0469

Authorized Official
Title or Position	:	CEO
Name	:	MS. LAREE LEE COOPER
Credential	:
Telephone Number	:	206-497-0468

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	09/28/2017

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