Healthcare Provider Details

I. General information

NPI: 1225037096
Provider Name (Legal Business Name): WASHINGTON CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 S WALDEN ST
SEATTLE WA
98144-6830
US

IV. Provider business mailing address

2821 S WALDEN ST
SEATTLE WA
98144-6830
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-2800
  • Fax: 206-577-6298
Mailing address:
  • Phone: 206-725-2800
  • Fax: 206-577-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH 706
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1394
License Number StateWA

VIII. Authorized Official

Name: MRS. HELEN SIKOV
Title or Position: ADMINISTRATOR
Credential:
Phone: 206-725-2800