Healthcare Provider Details

I. General information

NPI: 1124306725
Provider Name (Legal Business Name): SHC SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2011
Last Update Date: 07/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S 336TH ST STE 210
FEDERAL WAY WA
98003-7354
US

IV. Provider business mailing address

306 BROWN ST SE
ORTING WA
98360-9491
US

V. Phone/Fax

Practice location:
  • Phone: 866-835-8091
  • Fax: 253-835-7102
Mailing address:
  • Phone: 253-632-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberOC 00001042
License Number StateWA

VIII. Authorized Official

Name: MRS. STEPHANIE SHERI PARKERSON
Title or Position: COTA/L
Credential: COTA/L
Phone: 253-632-0007