Healthcare Provider Details

I. General information

NPI: 1750575601
Provider Name (Legal Business Name): BEST CARE HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 09/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 2ND AVE S
KENT WA
98032-5847
US

IV. Provider business mailing address

410 2ND AVE S
KENT WA
98032-5847
US

V. Phone/Fax

Practice location:
  • Phone: 253-813-0559
  • Fax: 253-813-3944
Mailing address:
  • Phone: 253-813-0559
  • Fax: 253-813-3944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number750514
License Number StateWA

VIII. Authorized Official

Name: MR. JOHN L COEUILLE
Title or Position: PRESIDENT
Credential:
Phone: 253-813-0559