Healthcare Provider Details

I. General information

NPI: 1164333928
Provider Name (Legal Business Name): VALDEZ ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W BAY DR NW STE 218
OLYMPIA WA
98502-4926
US

IV. Provider business mailing address

5605 EMERALD ST SE
LACEY WA
98513-6402
US

V. Phone/Fax

Practice location:
  • Phone: 833-388-4893
  • Fax:
Mailing address:
  • Phone: 808-640-9050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA JAMES VALDEZ
Title or Position: PRESIDENT
Credential:
Phone: 808-640-9050