MEDICARE: DAY SURGERY COMPANIONS SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	603456872	WA
2	347C00000X	Private Vehicle	603456872	WA
3	343900000X	Non-emergency Medical Transport (VAN)	603456872	WA

General Provider Information

NPI Number	:	1912391160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY SURGERY COMPANIONS SERVICES

Provider Business Mailing Address
First Line	:	7743 SEWARD PARK AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-4248
Country	:	US
Telephone Number	:	206-659-0355
Fax Number	:	206-659-0264

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	:	206-659-0355
Fax Number	:	206-659-0264

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LAREE L COOPER
Credential	:
Telephone Number	:	206-659-0355

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	03/25/2015

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Practice Location Address:

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