Healthcare Provider Details

I. General information

NPI: 1811008980
Provider Name (Legal Business Name): POLACK ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SEWARD PARK AVE S
SEATTLE WA
98118-4247
US

IV. Provider business mailing address

7500 SEWARD PARK AVE S
SEATTLE WA
98118-4247
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-8800
  • Fax: 206-722-5210
Mailing address:
  • Phone: 206-725-8800
  • Fax: 206-722-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOANNE ANGEL
Title or Position: DIRECTOR
Credential:
Phone: 206-725-8800