Healthcare Provider Details

I. General information

NPI: 1497284434
Provider Name (Legal Business Name): NESSLEY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2017
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 MCALLISTER CT SE
OLYMPIA WA
98513-2010
US

IV. Provider business mailing address

1743 MCALLISTER CT SE
OLYMPIA WA
98513-2010
US

V. Phone/Fax

Practice location:
  • Phone: 360-634-0163
  • Fax: 253-780-2077
Mailing address:
  • Phone: 360-634-0163
  • Fax: 253-780-2077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN WESLEY PERKINS
Title or Position: PRESIDENT / CEO
Credential: MBA
Phone: 580-917-6625