Healthcare Provider Details

I. General information

NPI: 1336087451
Provider Name (Legal Business Name): MABROOK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6727 MLK JR WAY S STE E
SEATTLE WA
98118-3205
US

IV. Provider business mailing address

4408 31ST AVE S
SEATTLE WA
98108-1516
US

V. Phone/Fax

Practice location:
  • Phone: 206-785-5269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HUSSAIN Y MOHAMED
Title or Position: ADMINISTRATOR
Credential:
Phone: 206-785-5269