Healthcare Provider Details

I. General information

NPI: 1053652230
Provider Name (Legal Business Name): MEOW INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 293RD AVE NE
CARNATION WA
98014-9627
US

IV. Provider business mailing address

1240 293RD AVE NE
CARNATION WA
98014-9627
US

V. Phone/Fax

Practice location:
  • Phone: 917-318-0790
  • Fax:
Mailing address:
  • Phone: 917-318-0790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUZANNE PAK
Title or Position: CEO
Credential:
Phone: 917-318-0790