Healthcare Provider Details

I. General information

NPI: 1285557603
Provider Name (Legal Business Name): AMANI SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33919 9THAVE S SUITE 200
FEDERAL WAY WA
98003
US

IV. Provider business mailing address

33919 9THAVE S SUITE 200
FEDERAL WAY WA
98003
US

V. Phone/Fax

Practice location:
  • Phone: 206-750-5500
  • Fax:
Mailing address:
  • Phone: 206-750-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ZOLA MARIE SHEEHAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 206-750-5500